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Of they P-ensure Coif.%r INC.
588 NW Mercantile Place Port St.Lucie, FL 34986
Office 772-879-0904 Fax 772-879-1116 Email:Service@CoastalPestControlFL.com
Certificate of Termite Treatment/ Soil Treatment
Permit#, S(.C-i 8o6-069Z. Job Street Address 13-2 (?CN s id
Job City,State,Zip (of o"C�
Builder N M Legal Description:Section Block jo Lot
Soil Treatment Company Information
Coastal Pest Control of the Treasure Coast Inc.
S88 NW Mercantile Place Port St.Lucie,FL 34986
D.A.C.S. License#JB5594/Certificate#8068
Treatment Information Second Treatment/Final
&27'lg / J/ ''004,1Treatment Date/Time J Treatment Date/rime
4 AIS 4AQ Chemical Used Chemical Used
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/� —Concentration Concentration
Sy Gallons Used Gallons Used
a f0j10 CgS' Application Method Application Method
J g linear/Square Footage / Linear/Square Footage
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CAT SIGNATURE
l 22.6 Certificate of Protective Treatment for Prevention of Termites
A weather resistance iobsite posting board shall be provided to receive duplicate treatment certificates as each required protective
treatment is completed,providing a copy for each person the permit is issued to and another copy for the building permit files.The
treatment certificate shall provide product used identity of the applicator,time and date of the treatment,site location,area treated,
chemicals used,percent concentration,and number of gallons used,to establish a verifiable record of protective treatment.If the soil
chemical barrier method for termite prevention Is used,final exterior treatments shall be completed prior to final building approval.