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Building &Code Regulation Divisinn RECEIVED
C 2300 Virginia Ave
Fort Pierce, FL 34982 MAR 1 1 2 ?_p
772-462-2172 Fax 772-462-6443
ST. Lucie County, Permitting
CERTIFICATE OF TERMITE TR
CONSTRUCTION SOIL TREATMENT
PERMIT #: )ON-O`740 JO ABD ESS: tool (a A)4cejo Zr &t-Perc2
BUILDER/CONTRACTOR: , .fl,
PEST CONTROL CONTRACTOR: 1Nc �, Sr�sSiy��S l_Ll~
PEST CONTROL LICENSE #: W (�
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: �/�® Chemicals used: boM1dl uL
Percentage of solution: Total gallons used:
Date of Treatment: 3-Ct a,b Time of Treatment: '570 o
Footing Slab
is`Treatment 1St Treatment
Re-Treat Re-Treat
Drive ay Pools
1st Treatment 1St Treatment
/ Re-Treat Re-Treat
V OtX
Sir)L�c j��, Perimeter for I nspection
1st Treatment
Re-Treat
Signature of EAwKinator Date
Note. There must 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 will fail and a re-inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites 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 ancopy 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. 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.
Revised 7/24/2014