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ori Building & Code Regulation Division
2300 Virginia Ave
• -� Fort Piercer FL 34982
772-462-21.72 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:.0 20040951 JOB ADDRESS: 6732 Dulce Real Aveue, Ft: pierce
BUILDER/CONTRACTOR: , Design concrete
-PEST CONTROL CONTRACTOR: - Patrick ExtP=drlating
PEST CONTROL LICENSE #; 4864
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:- 264 Chemicals used: Cote' TC
Percentage of solution: .25% Total gallons used: 26
Date of Treatment: 5/22/20 Time of Treatment: 8:30
Footing Slab
I'Treatment 1"Treatment
Re-Treat Re-Treat
_Driveway Pools
1'Treatment 1St Treatment
Re-Treat —Re-Treat
-Other Carmo t/ Shed Pe - et for Final Inspection
15t Treatment
Re-Treat 2
Signature of Exterminator Date
Note: There must be a completed form for each required treatment or re--treatment and this form must be on the job
site to be picked up by the Inspector at time of each inspection or the scheduled inspection will fail and a re Inspection
fee charged.
FBC104.2.6 Certdfrcate of Protective Treatment for pre venrlon of termites A weather resistant jobslte posting,board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the building pennit files The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment,site location, area
treated, chemleal used,percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention fs used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the firial inspection for CO,a Permanent Sticker to be placed on
the electrical panel box cover, listing all.the treatments and dates of applications.
Revised 7/24/2014
MAY 2 ® 2020
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