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HomeMy WebLinkAboutslabPlanning & Development Services
Building & Cade Regulation Division]
2300 Virginia Ave
Fort Flerce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE -TREATMENT
CONSTRUCTION SOIL.TREATMENT
PERMIT #: S LC J P' d '03CrB ADDRESS:
BLJ1LDER/C0NTRACTQR: S LL--
PEST CONTROL CONTRACTOR: :�"—P-A
PEST CONTROL LICENSE #: f' 1 .I�'
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.
L'6
Square feet if area treated_ Chemicals used . d-' e_c1C U,
Percentage of solution_
Date of Treatment.
Footing
1'� Treatment
r`
Re-Treat
_ Li' _ Driveway
iy 125` Treatment
Re -Treat
Other
1-�' Treatment
Re Treat
Total gallons used: 0
Time of Treatment: l©�
Slab
1 Treatment
Re -Treat
Pools
In Treatment
Re -Treat
prim -Inspection , I
ignature of Exterminator Date
Note : There must be a completed ►arm for each rWulmd irea6nenf acre treatment and this form mustbe on the job
site to be pidrad W by ttre inWedorat bate of eadi inspection or the a teduled inspection will fay7 and are -Inspection
fee charges:
FBC 104.2.6 Certiff ate of Protective Trea6nent for prevention of teaches A weaUter reastant-- jobske postiltg Lard
shall be provided to receive dupilcate Treab-nent C eitfficates as eadr reqwred proteztva &vatmentis completed,
providing a copy for Me person Ehe permit is izu5d to and another copy for the building parmitfrles. the T eabnwx
Cerft3te shall prowde the product used, identity ofthe applicator, time and date offhe tr�tment, site location, .3ma
treated, chemical used, percent concentration and number ofgallons used, to establlsh a venflable record of
protective treatrrrent: If the soil chemicalbarrfermeffiod far termiteprevenbon is u-EGd, final exterior &aatmentshall
be completed prior to final budding approval.
5t Lucie County requires fur the final inspection fair M, a- Permanent Sticker to be placed on
the electrical panel box cover, Ustintg all the treatments and dates of appHcations.
Revised 712412014
SOUTHCOAST PEST CONTROL INC.
2872 EAGLES !VEST WAY
PORTST. LIKE, FL. 34952
772-37U-4120
PLEASE SEE CHANGE OF ADDRESS
INVOICE
DATE 12131120
A S U ENTERPRISES
PRECONSTRUCTION TERMITE TREATMENT AT: 7803 EDEN RD.
FORT PIERCE, FL.
TOTAL DUE $ I25.00
THANK YOU
DAN SALICA