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Fort(Pierce, FL 34982
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CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TRVATMENT
PERMIT #: JOB ADDRESS: 7904 S.E. MoC'Iintock Way, PSL
BUILDER/ ONTRACTOR: South Florida Aluminum
PEST CONTROL CONTRACTOR: Patrick. Exterminating 1
PEST CONTROL LICENSE #: 4864
We, the undersigned, hereby certify that we have pretreated'the above described construction for j
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: 100 Chemicals used:Cyper TC.'
Percentage of solution: , 2 5% Total ga lions used: 10
Date of Treatment: 212 5%l 7 Time of Treatment.- 2:3 0
i
Footing Sfab
1 Treatment ____11t Treatment
Re-Treat Re-Treat
x Driveway Pools
1t Treatment ill Treatment
Re-Treat Re-Treat
_x-Other�Stogp Perimeter for flinai Inspection
1'Treatment
Re-Treat a r^ 1
Signature..of Exterrnina�or
Note: There must be a completed form fcr each required treatment or re-treatment and this form must be on tfre job
site to be picked up by the Inspector at t1me of each Inspection or the scheduled Inspection will fail and a re inspection
fee charged. `
FSC104.2.6 certificate ofProtLoctfve Treatment Pbr prevention of termites A weather resistant jobske 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
Cer'lil3cata shall provide the product used, Identity of the applicator, time and date of the treatment,site location, area
treated, chemical used,percent cancentratlon and number of gallons used,-to establish a verifiable record of
protective treatment. If the'soll chemical barrier method for termite prevention is used, Erna/exterior treatment shall
be completed prior to final building approval.
5t Lucie County requires for the final inspection for COr a Permanent Sticker to be placed onl
the electrical panel b treatments and dates of applications.
RECEIVED OCT 1 �rM
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