HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESCANNED
BY
St. Lucie County
588 NW Mercantile Place Port St. Lucie, FL 34986
Office 772-879-0904 Fax 772-879-1116 Email:Service@Coasta[PestControlFL.com
Certificate of Termite Treatment/ Soil Treatment
Permit # ) L% / 7 — 035 ,1�' Job street Address ) 03C 3 S 1 nd&-i li ✓Pr' Dr
Job City, State, Zip 62rT- Arerer _ I%L 3Z/gk7-
Builder 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
771g7r1jf/ y.00 TreatmentDate/Time
/Gis%/ Chemical Used
�L C/ro Concentration
23 gG//OnS Gallons Used
c
,II(pct�CaSY Application Method
69 / 22-44 Linear/Square Footage
APPLICATOR SIGNATURE
Second Treatment/Final
/ Treatment Date/Time
Chemical Used
Concentration
Gallons Used
Application Method
/ Linear/Square Footage
FBClo4.2.6 Certificate of Protective Treatment for Prevention of Termites
A weather resistance iobslte 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 gallons used, to establish a verifiable record of protective treatment. If the sail
chemical barrier method for termite prevention is used, final exterior treatments shall be completed prior to final building approval.
MFu111Yeatmeat
Spot Treatment T . eY315 44
❑ Inspection Only -
772-879-0904
Notice of Treatment or Inspection
DATE SERVICE CHEMICAL BY
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