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St Lucie County Inspections
2300 Virginia A venue JUN
Ft Pierce, FL 34982
(772) 462-2172
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I. CERTIFICA TE OF TE.RMITE TREA TMENT
CONSTRUCTION SOIL TREATMENT
PERMIT#-Ol O~ ,,03 6d JOB ADDRESS_ q 4s-s- ~ \.{\ d ~~. -t-t C:r,
BUILDER L ~ '" ~ \-\O'N""\ Q 5
PEST CONTROL CONTRACTOR \-\ O'(Y'\.Q Te..<l~ . e.~'+ ~ D ~.ç.e. f1 5 Q..
PEST CONTROL LICENSE # -yç. q ~ lJ, L.\
Square feet of area treated:
We, the undersigned, hereby certify that we have pretreated the above.¡.described construction for
subterranean termites in accordance with the standards of the Natio · Pes Control Association~
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Tirne of Treatment: . 3 J" OD ? ..1111 .
17/D
CJlemicals used:
Percentage of solution:
~
¿,/ / Of
I I
Total gallons used:
Date of treatment:
FootÿJ.g
~ 1st Treatment
_D Re-treat
~ab
· 18t Treatment
ORe-treat
o Driveway
o 1st Treatment
ORe-treat
o Pools
o 1 st Treatment
o Re-tr
¡10ther A 'f"'
o 1st Treatment
ORe-treat
o Perimeter for Final Inspection
FBCI04.2.6 Cl!rtificate of Protective Treatmentfor prevention oftermiJes.
A weather resÜtant 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 ofgallons used, to establish a verifiable record of protective
treatment. If the soil chemical barrier method for 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
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 pickpd up by the inspector at time of each inspection or the scheduled inspection will
fail and a re-inspection fee charged.