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_- s- Building & Code Regulation Division
COUNTY2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 4 7 `Q -4 JOB ADDRESS: 11 .
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: tLeS,-Qa 2-
We,
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 if area treated: y Chemicals used: y
Percentage of solution: �d U Total gallons used:
Date of Treatment: ! Time of Treatment: /R o 20 ,-A Y11
�d-io✓l
Footing Slab AoW
1St Treatment L�st Treatment
Re-Treat Re-Treat
Driveway Pools
1St Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment
Re-Treat
gnature of Exterminator
Note., There n m must be on the job
site to be pic, Date � � /� ail and a re-inspection
fee charged. e
El Inspection
FBC104.2.6 ° �' O S �`' ?obsite posting board
shall be prov "t is completed,
providing a c Treatment Iles. The Treatment
Certificate st, int, site location, area
treated, chef t , ( ale record of
protective trc772n461w6526 -' �r r4�� l`MS erior treatment shall
be completes Organism Treated
St Lucie Ci o be placed on
the electri
SUNRISE PEST INC. '' esticide used ons.
2303 N. U.S. 1, STE., 11
FORT PIERCE, FL 34946
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