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Fort Pierce, FL 34982
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CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION. SOIL TREATMENT
PERMIT #: SLC2010-0425 _. JOB ADDRESS: 7735 Greenbrier Circle, Port St. Lucie
BUILDER/CONTMCTOR:. Design Concrete
REST CONTROL CONTRACTOR: Patrick Exterminating
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: 342 Chemicals used: Cypermethrin
percentage of solution: -25% Total gallons used: 34
bate of Treatment:. 12/9/2020 Time of Treatment: 2:00 a.m.
Footing Slab
V Treatment 1r'Treatment
Re-Treat � .Re-Treat
Driveway Pools
1;�Treatment 15t Treatment
Re-Treat Re-Treat
X
_____._Other Screen enclosure Perimeter for Final Inspection .
x 1rt Treatment
—Re-Treat r �.. -;.. . 2 9/2020
Signature of Exterminator Date
Note: There must be a attitioMNbd form for each required treatmant or re-treatment and this lbrnt must be on Maio,
slfe to be picked up by the W*�*at time of each inspection or the scheduled,iqs
1Qn will IN/and a respe7v»
Me changed,.
FBC104.2.6 C-Ortifreke of Protective Treatment for prevention of-corm tes. A weather resistantjp r E!posting board
shall be provided to.:reCeive*.duplleate Treatment�C, rtil%cates as each rmuired'prolective treatment is completed,
Avviding a copy for the person the permit is issued to and another copy for the bul/dIng permit files Thd Treatment
iGt'rki%<VM shall provide the product used, identity of the applicator,time and date of the treatment,site location, area
treated, chemical used,percent mncLantration and number of gallons used, to.establlsh a ver[Aable record of
protacbve treatment If the sail chemical 40l'rYEf'method for termite prevention is used, hizat eAterior'treatment shall
be#i7,v/eted prior to final building approve%
St Lucie County requires for the final inspection for CO,a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7124/2014'
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