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2300 Virginia-Ave-
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: l 7o 3- o y 3 3 JOB ADDRESS: -7 304 EXEC P_V V Ft.
BUILDER/CONTRACTOR: norc.�-e.
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: 4/7 (.v 4
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: c;J5O Chemicals used: Cv aer TZ ,
Percentage of solution: a5 l Total gallons used:
Date of Treatment: Time of Treatment: -L/
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools '
1st Treatment 1't Treatment
Re-Treat , Re-Treat
_Other ?AT1 o PCOD aN To Perimeter for final Inspection
„_1st Treatment Pft-ri o ScamN &Q
Re-Treat
Signature of Exterminator
Note: There must be a completed form for each required treatment or re-treatment and this torn 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 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite 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 permit files The Treatment
Certificate shall provide 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
protective treatment. If the soil chemical barrier method for termite 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 cover, listing all the treatments and dates of applications.
Apr 27 2017 12: 03PM HP,--jSERJET FAX p. 1
2300 Virginia Ave,
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
.CONSTRUCTION SOIL TREATMENT
PERMIT #: 1703-043-3 JOB ADDRESS: 7304"DE.ER• PARK AVE FORT PIERCE
BUILDERJCONTRACTOR: DESIGN CONCRETE.
PEST CONTROL CONTRACTOR: PATRT R F.x'I'FRMTNATTNG INC
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: 250 Chemicals used: CYPER TC
Percentage of solution: •25% Total gallons used: 25
Date of Treatment: 0 4/2 5/17 Time of Treatment;-
Foodng Slab
1�Treatment 1'Treatment
Re-Treat =Re- neat
Driveway Pools
1st Treatment P Treatment
Re-Treat Re-Treat-
Other PATIO Perimeter for'Final Inspection
I'Treatment
Re-Treat
1 a ur ExteM
Note. There must be a completed form for each required treatment or re-bratment and this form must be on the job
site-to be picked up by the inspectorat#ime of each inspection or the scheduled inspection will fail and a re-Inspection
fee barged.
F13C104.2.6 Certificate of.Protective Treatment for ptevention of termites A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
Providing a copy for dye person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall pro vide the product used, identity of the app/icaW, time and date of the treatment,site location, area
treated, chemical used,percent concentration and number of gallons usedr to establish a verifiable record of
protecYve treatment. If the soil dremical barrier method for termite preventlon Is used,final exterior treatment shall
be completed prior to final building approval.
$t Lucie County requires far the final inspection for CO,a Permanent Sticker to be placed on
the electrical Pan6l box cover listing all the treatments and dates of applications.
RECEIVED. APR;;2.7 2�11