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I-COUNTY
•
_ RECEIVED
2300 Virginia'Ave
Fort Pierce,FL 34982 DEC 2 0 2M
772-462-2172 Fax 772-46.2-6443
ST. Lucie County, Permitting
CERTIFICATE OF TERMITE TREATMENT
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PERMIT #: coo,_/ JOB ADDRESS' _e 6
BUILDER/CQNTRACTOR; ]�L
PEST CONTROL CONTRACTOR: iVO
PEST CONTROL LICENSE #: ZT,_Fz I Qi Z_ l 2.1
We,
the un0ersii4hgq,;,hereby certify that we-have pretreated the above described construction for "
subterranean termites In-accordance with the standards of the National Pest Control rAssocialtion.
Square feet if area treated: ` Chemicals used: E bSS C'/��,C
Percentage of solution: ' S Total gailons�used:
Date of Treatment: l l Time of Treatment;
Footing Slab
1 t Treatment 0 Treatment
Re-Treat Re-Treat
Driveway Pools
1'Treatment treatment
Re-Treat Treat
Other P m for Final Inspection
1st Treatment
Re-Treat .
(,,*nafure of Exterminator
Note: There must be a completed form for each required treatment ogre-treatment and this form must be on the job
site to be picked up by the inspectorat time of each'inspection or--
the scheduled inspection will tail and a re inspection
fee charged.
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shall be provided to receive duplicate Treatment Certificates as-each required protedive freatment is completed,
providing a copy for the person the permit is Issued to and anotfiercopyfor the building permit Ms The Treatment
Certificate shall provide the product used,identity of Me applicator time and date of the freatmert,site location,area
treated,chemical used,percent concentration and number ofgalldns used, to establish a verifiable record of
protedAve trea6ent. if the soil chemical barrier method for termite prevention is used,final exterior treatment shall
be completed prlorto final building approval.
St Lucie County requires for the final inspecilon for CO --ii-Permanent Sticker to be placed on
the electrical anel box cover listin all the treatments and datpas of a lications.