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Aug 06 2018 5: 03PM HP LASERJET FAX
i
23QQ Virginia Ave'
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TR9AIr NT
PERMIT #: 30 DDR 5.
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTQR..
PEST CONTROL LICENSE #;
We,the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: ^cv� ChemJcals used: / c-
Percentage of solution: Total gallons used:
Time of Treatment:.
j �t
Date of Treatment: Time .
Footing Slab
ill'Treatment 1st Treatment
Re-Treat Re-Treat '
Driveway ____Pools
1"Treatment 11t Treatment
Re-Treat Re-Treat•
r,--Other r �d Perimeter for Final Inspection
1st Trea ent
Re-Treat
Signature o F.xte mr i for
Note:.There must be a completed farm ror 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 Inspectlon or the scheduled inspection will fail and a re inspect,"on
fee charged.
FBC104.2.6 Certificate of Protective Treatment for pt`evention of termites. A weather resistant jobsite poslrrrg board
shall be provided to receive dupllcate Treatment CertlAcates as eao5 required protective VWb77entts completed,
providing a copy for the person the permt Is Issued to and another copy forthe building permit tiles The Treatment
Certificate shall provide the product used, idenft'ty of the applicator time and date afthe treatment;site location,area
treated,chemical used,percent concentratlon and number of gallons used,do establish a paT ab/efeColVi4le
proted ve beatment, If the soli chemical barrier method for termite prevention is used, Ate
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/'�lBa��l11�'lIt`S/la/l
be completed prior to final building approval,
St Lucie County requires for the final inspection for CO,a Pfrman
ver Aent Sticker to be
the electrical anet bax Costir all the treatments an of.a Placed an
� tications.
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