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HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 7-1-16Planning & Deaelopment Services Building & Code Regulation Division SCANNED 2300 Virginia Ave BY Fort Piercer FL 34992 772,462-U72 fax 772-162-6443 a •' Lucto CCU*, CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL,TREATMENT PERMIT t ® - 0� JOB ADDRESS: BUILDS CONTRACTOR: ^ . PEST CC TROL CONTRACTOR: PEST CC 4TROL LICENSE #: I We, the u ersigned, hereby certify_that we have pretreated the above described construction for subterran n termites in accordance with the standards of the National Pest Control Association. Square fe if area treated: Z O L l F Chemicals used: Percentage of solution: a �6� Total gallons used: © 5 Date of T atment: �' I V 6 - Time of Treatment: l=o;ng Slab 1't Treatment 151' Treatment II Re -Treat Re -Treat Dr' I ! way 1� Treatment 1a Treatment 11 Re -Treat Re -Treat rPerimeter for Final inspects 15t Treatment Treat Signature of Exterminator Note. ih I e must be a completed form for each requlied treatment orre-traatmentand this form mustbe on the job site to be icked up by the Inspector at lime of each lnspeeon or the scheduled Inspection will fail and a•re-Inspediol, fee chargl'I1. FOCI 04. 6 Certificate of Protective Treatment forpreventlon Of termites. A weather resislantJObsite posting board shall be Ir vlded to receive duplicate Treatment a. rtillrates as ead? req'ulred proteefte treatmentts completed, providrngj copy for the person the permit is issued to and another copy for ltie building permit files, The Tre0fine2t Cerdfiratd shall provide the product used, identityofthe applicator, time and.data of the treatment; site 1000", area treated, emical used, percent cancentration and number of gallons used, to as a verifiable record Of proteciiv treatment the soil chemical barrier method for termite prevention Is used, final exterior treatment shall be comp% ted prior to final buildtn9 approval. St lake Co�unlb requires for the final inspe idon for CC►, a Permanent Sticker tobe placed on the eleq ricaI panel box cover, listing all the treatments and dates of aPPlIcatiOnr T Y 9 5^7 Im