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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEZ a6ed
PERMIT
PEST CONrj
PEST CONTI
\Ve, the under
snbterraaean
Square feet of
Percentage of
Date of tmatn
Q Footing
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1st
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996L594ZLL
St Lucie County erections
2300 Virginia -Avenue
Ft Pierce, Fie 349$2
(7n) 462-2172
O EC q E®
r6=CT LGOZ'90 JdY 2 2
00$
public Works
St. Lucie County, FL
SCANNEDPa 2f i�
BY S
St. Lucie ...
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATNM ,
ADURMCj-IC)� Lair -C-ir
A r .r
hereby certify that we have pretreateddtheabovedescribed cot,struction for
1 in amordauce with the standards of the National Pest Control Association.
�� cZ Tofal gallons used;
Time of Treatment-
FllCi04-16 CerafieeteofProtectiveTiealmeatfvrpreueRtiatrterat;let,
A weather rcrivam fobsircpostmg G-ard shall be prurided to rcceiUe
duplicate 7ieatrriae CertFfieater as cac/t requtred prwerrivc treatment is
cokaplaed prorlding a copy far die person slid pemklr is issued to and
another coFYJorrhe building permilfilu. The Creotmenr Certifrote sha!!
pro• -.de the pradad used idenriry of the apphrator rime and date orthe
6carmna. Site lacarian, area treared chemical used. pere.ft, eana-mlrarian
and number Ofgallaas used, to errablirh a verifable record of prorccare
11carmcnr lfthe sail chemical Gamier mrthodfor termiteprrvcnrion is aced,
rural everiar ucalmem shall be eompldrd pnar ro final b.&Mg approwl.
St Lucie Cm-ty mgkitrs for the final inspettinn for Cpk a Pcromttent
Sticker t6 be pieced on the electrical pants box cover, Ihting all the
treatments and dates of appliCtttions.
mimem
it it k
for F'2Rdl lI1Sp8CtIC•Il
Signature o eft �tertttinnior
There sntlst b a completed form for each required treatment orre-treatment and &Firs jann must he an
the job vita t he picked up by the inspeclor at time njeach iaspectwn or life srhedais inspe= will
ttr.Vre sum�,he fail and a re -inspection fee charged
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This report is submitted t
All contracts for
Section 1:
Company Addr
Z32804-
Zip;
1517
Section 2:
Company Nam
Phone No.:
Section 3: Propei.
Building Permit No.: _
Location of Structure(s) l
Type of Construction:
Approximate Depth of Fo
HomeTeam
PEST DEFERS
Construction Subterranean Termite Treatment
R EC yi T3
NAie0unty,
08
3ks
FL
information purposes to the builder on (new) construction rases where treatment for prevention of
can termite infestation is required by the Florida Building Code, Section 104.2.6.
es are between the Pest Control Operator and builder, unless stated otherwise.
SCANNED
im Pest Defense BY
tune Place City: West Melbourne State: Fl- fib, Lucia Qonifffi,
r Phone No.: 321A09.8489 Business License No.: JE20424
Information
Information
FORT PI
❑ Basement ❑ Crawl ❑ Other
Outside: Inside. Type Fill: DIRT
Section 4: Treatment Information
Date(s) of Treatment(s): 1
Brand Name of Product(s)
Final Mix Solution:,.05_
1 7712008 EPA Registration No.: 432.1332-73748
Used: I Maxx Pro
Treatment Area Sq. Ft.:
Linear Ft, 220
Linear Ft. of Masonry Voids:
Total Gallons of Termiticid
3 Applied:
08
Service Agreement Availa
le?
® Yes ❑ No
This building has received a complete treatment for the
Liquid treatment:
®Yes ❑ No
prevention of subterranean termites. Treatment is in
Liquid Final exterior treat
ent:
®Yes []No
accordance with the rules and laws established by the
Borate treatment:
n Yes ® No
Florida Department of Agricultural and Consumer
Bait in lieu of Pretreat:
❑ Yes ® No
Services. Initial_
Note: Some state laws rec
uire service agreements to be issued.
This form does not preempt state law.
Attachments (List)
_
Comments
Name of Applicator(s): HDFFPRRE Certification No.: JF9264
Authorized Signature i� Date 11/10/08
nH-NT9I05 -
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