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Building 4 Code Regulation Division
2300 Virginia Ave
Fort Pierce,FL 34982
772-4624172: Fax 772-462-0443
CERTIFICATE OF TERMITE TREATMENT
CONVSTRUCTION SOM TREATMENT
PERMIT #: 150"1- 0%-S 4 JOB ADDRESS: 8606 Lakeland, Boulevard, :Ft Pierce., FL
BUILDER/CONTRACTOR: Southeast. Construction
PEST CONTROL CONTRACTOR: _ Bates _Exter' nat,incf
PEST CONTROL LICENSE*:: JB21 3
We, the undersigned,.hereby certify that vire have pretreated the:a0we described construction for
subterranean termites in accordance hOth the-standards of the National Pest Control Association.
950Cypher, TC
Square feet if area treated; . Chemicals used
0.0:5%
Percentage of solution*. Total gallons used::.
10-27-2015. 9:;:00 ain,
Date of Treatment; Time.of Treatment.
Footing Slab
1 Treatment i'Treatment.
Re-Treat Re=Treaf
_�Drivevvay Pools
X. 1 t Treatment iTreatment
Re-Treat, ----Re-Treat.
Other Perimeter for Final Inspection
ist Treatment
Re Treat 10-21-2018,
Signature of-Exterminator Date.
Note: Theremust be a.completed"form for'each required treatment or re-treatment and this form must be on the job
site to be picked up by the Inspector at time:of each inspection or the scheduled inspection w1/1 W and a re:inspection
fee charged.
FBC104.2.6£ertlficate of Protective Treatment for.prevenfron of termites A weatherresistantjobsite posting board
shall be provided to receive;duplicate Treabnent Certificates as each rgquired protective treatinent is completed,
pr.11oviding a copy, . the person the pennit;is issued to and another copy for th,e'building permit.files The Treatment
Certlfcate shall pro vde the praduct..used,identity of the applicator;time artd date of the;treatment,site/ocation, area
treated,,chem/cal used,percent ocentration and number of gallons used,to establish a verifiable record of
protective.treatnlenr If thesoi/chemicalbarrier method.for termite prevention is•used final•extetior treatment shall
be cornpletedprior to final Ibuilding approval.
St Lucie County requires for the final inspection for:CO,a Permanent Sticker to be placed on
the electrical panel bo r coArer, listing ail'the treatments and dates of applications.
alevised 7124/20I4