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CERTIFICATE
CONSTRU(
PERMIT #:_IWO —
BUILDER/CONTFtAC-tOR:
PEST CONTROL CONTRACTO
PEST CONTROL LICENSE #:_
We, the undersigned, herby certify that we I
subterranean termites in accordance with the
Square feet if area treated: )qq __
Percentage of solution:
Date of Treatment:
Footing
i� Treatment
Re -Treat
_Drive%vay
1' Treatment:
Re- at
4Othar d�n�
I' Treatment
—Re-Treat
Vote: 77tere mutt be a comPt'eted form for each red
ute ra be Piked up b, the lnspecnr at time of each
ae onarged.
SCANNED
BY
)o vir9� in St Lucie County
pierce, FL 34982
72 Fax 772-462-6443
TERMITE TREATMENT
ON SOIL TREATMENT
Recfte p
pe FFg 0'1Q10
St. lt(cPp bCa t' ent
5'W q' & Z�� e' 'D2
pretreated the above described construction for
dards of the National Pest Control Association.
Chemicals used: elP
Total gallons used:
Time of Treatment: r )U
Slab
in Treatment
Re -Treat
_,__Pools
1" Treatment
t
Perimete for Inspection
Signatur o rminator
treatment Or re -treatment and this form must be on the jdb '
:Yiun cr the scheduled Inspection will fail and a re -inspection
:aC1o4.2.6 Certificate of Protective Treatment for p venticn of termites. A weather rasistanrjobsite posting board
hall ve prodded to receive duplicate Trraimant Certi sates as each required protecb've treatment is comp/eted,
s oo-rL'ing a ropy for the person the permit is issued to and another copy far the bui/ding permit files. The Treatment
2%tifcafe shall provide i;ie p; t ducz used, ident/ry of [ e applicator, time and date of the treatment site location, area
-eareq. chemical used; percenr 6oncentration and n ur, lbcr of gallons used, to establish a ven'fiable record of
oreciivs Treatment. If the soil chemical barrier meth d for trrinite prevention 15 used, final exterior treafinent shad
e x:'nph-'tea prlor to Fnal hJilding approi.�?I.
t Lucie County requiresifor the final inspe ion for CO, a Permanent Sticker to be placed on
he electrical qnel. box 40ver, listing,aft_ ient5 and 6ates