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I. CERTIFICA TE OF TERMITE TREA TMENT
CONSTRUCTION SOIL TREA TMENT
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We, the undersigned, hereby certify that we have pretreated the above-described construction for
subterranean termites in accordance with the standards of the Naf a st Control Association.,
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PERMIT #
BUILDER
PEST CONTROL CONTRACTOR
PEST CONTROL LICENSE #
Square feet of area treated:
8t Lucie County Inspections
2300 Virginia A venue
Ft Pierce, FL 34982
(772) 462-2172
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Chemicals used:
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Total gallons used:
Percentage of solution:
Footi~
Z-lst Treatment
~ 0 Re-treat
~ Slab
~ Treatment
ORe-treat
o Driveway
o 1 st Treatment
ORe-treat
o Pools
D'lst Treatment
~ 0 Re-treat
/ Other ~ A ("' A
1 st Treat¡~ent
ORe-treat
o Perimeter for Final Inspection
NOTE:
There nlust be a completed form for each required treatment or re-treatment and this fonn must be on
the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will
fail and a re-illspection fee charged.
Date of treatment:
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Time of Treatment:
FBCI04.2.6 Certificate of Protective Treatmentfor prevention oftermiJes.
A weather resistant jobsite posting board shall be provided to receive
duplicate Treatment Certificates as each required protective treatment is
completed, providing a copy for the person the permit is issued to and
another copy for the building permit files. The Treatment Certificate shall
provide the product used, identity of the applicator, time and date of the
treatment, site location, area treated, .chemical used, percent concentration
and number of gallons used, to establish a verifiable record of protective
treatment. lfthe soil chemical barrier me,thodfor termite prevention is used,
final exterior treatment shall be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent
Sticker to be placed on the electrical panel box cover, listing all the
treatments and dates of applications.
Signature of exterminator