HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTSLCll
PERMIT #:
PEST
PEST
.Fort Mercer FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
-013 JOB ADDRESS:
OR L/ /" !a6 % 4
TRACTOR: _�, � I f P(-ff �OUn��
LICENSE #:
H
8CAMYREj
By
81 Lucie coup ,
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet Pf area treated: a
Percentage of solution: n - to
Date of Treatment: - zo
Treatment
Treat B. .
leak i reatment
IRe-Treat
Other 1:
Treat
Chemicals used: CLI��� -:_
Total gallons used: it
Time of Treatment: - -/ 5
j/—Slab
P Treatment
Re -Treat
Pools "
Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator
Vote. There must be a completed firm for each required treatment orre-freaimentand this form must be on the job
►ite to be pig up by the inspector at time of each inspection or Me scheduled inspection will fail and a re -inspection
be charged.
fnC1a4■z.6 to
,fia//be provide
7roviding a copJ
.ertifrcate shall
reated, chemlc
rroteciive treat
w completed pi
flfiW%VffivtGGtIYG �Wl!llplC,/V/ �!/�,YQItItJII VftCIJ/l G A wcai'iIM f=!P IafiCJULWIWP05Ung uoara
'to receive duplicate -Treatment Certificates as ea6, ie0#e+d protective treatment is completed,
for the person the permit is issued to and ano65er copy for the building permitfiles The Treatment
rov/de the product used, identity of the applicator, time and date of the treatment, site location, area
used, percent corncentrafton and number ofgallons used,. to establish a verifiable record of
ent. If the soil chemical barrier method for termite prevention is used, final exterfor treatment shall
7r to final building approval.
it Lucie Cowity requires for the final inspection for CO, a Permanent Sticker to be placed on