HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT - SOIL TREATMENTr
NOV
588 NW Mercantile Place Port St. Lucie, FL 34986
Office 772-879-0904 Fax 772-879-1116 Email:Service@CoastalPestControlFL.com
Certificate of Termite Treatment/ Soil Treatment
Permit # W q, - OOCD ,� Job Street Address u'-1 A 012Q'Y-7C4P Aug —
Job City, State, Zip (E Pi e_nce (L 3 Li R kA i
Builder Sq_U Legal Description: Section_Block Lot
Soil Treatment Company Information
Coastal Pest Control of the Treasure Coast Inc.
588 NW Mercantile Place Port St. Lucie, FL 34986
D.A.C.S. License #JB5594/Certificate #8068
Treatment Information
A _`5 / Cdl el Treatment Date/Time
)(9 Chemical Used
Doo /C/? Concentration
C'�' Gallons Used
G95T Application Method
Second Treatment/Final
/ Treatment Date/Time
Chemical Used
Concentration
Gallons Used
Application Method
// T000, / �' Linear/Square Footage / Linear/Square Footage
APPLICATOR IGNATURE
FBC104.2.6 Certificate of Protective Treatment for Prevention of Termites
A weather resistance jobsite posting board shall be provided to receive duplicate treatment certificates as each required protective
treatment Is completed, providing a copy for each person the permit Is issued to and another copy for the building permit files. The
treatment certificate shall provide product used identity of the applicator, time and date of the treatment, site location, area treated,
chemicals used, percent concentration, and number of gallon's used, to establish a verifiable record of protective treatment. If the soil
chemical barrier method for termite prevention Is used, final exterior treatments shall be completed prior to final building approval.