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2300 Virginia Ave
Fort Pierce, FL 34982
772.462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TRkATMENT
PERMIT : 2006-0708 JOB ADDRESS: 5180 M Dunii`Road, Ft. Fierce
BUILDER/CONTRACTOR: am Custom Pools
PEST CONTROL CONTRACTOR: Patrick Exterminating
PEST CONTROLLICENSE #: 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: 240Chemicals used: C'y xittethrin
Perceritage of solution; .25$_, Total gallons used: 24
Date of Treatment: „ 8/27/2.020 Time of Treatment. 11 :00 8/27/20
Footing _,___Stab
I"Treatment " 11 Treatment
Re-"treat Re-Treat
Driveway Pools
istTreatment S Treatment
Re-Treat _..Re Treat
other Patio Perimeter for Final Inspection
• X 111 Treatment
Re-Treat
Signature of[Exterminator
Note;-There must be a completed form for each required treabnent or re-treatment and this form must be on the job
site to be picked up by the inspector at time of each inspectlon or the scheduled inspection will fail and a re-Inspection
fee charged.
FBC104,2.6 Certlgcate ofArotective Treatment for peevention of termites. A weather res/stantjobsite posting board
shall be prrnrr'ded to recOve duplicate Treatment Cerx/ficates as each required protective treatment 1s completed,
providing a copy for the person the permlt Is Issued to and another copy for the building permit files The Treatment
Centifrcate shallprovide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chemical used,percent concentration and number of gallons used,-to establish a verifiable record of
pmtective treatment If the soli chemical barrier method for termlte prevention Is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the final Inspection for CO,a Permanent Sticker to be placed on
the electrical panel box corner, listing all the treatments and dates of aRplications.