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8t Lucie County Inspections
2300 Virginia A venue
Ft Pierce, FL 34932
(772) 462-2172
RECEI
jUN 2
I'CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREA TMENT
PERMIT ûtC- 0' 10" DSO _'í JOB ADDRESS I ~ S- I Þre-r¿-G/ /~i.e .~.
BUILDER
PEST CONTROL CONTRACTOR '\ \ \ S epj\ EN\) \~¡J Me;dT/v\ ~6LV CL-{
~ß>- ~L\L\~S
PEST CONTROL LICENSE #
We, the undersigned, hereby certify that we have pretreated the above..described construction Cor
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet of area treated: /S211 ,(1 8'ie; ¿'(!,./ Chemicals used: /!v6L# Itvi' ~
V
Percentage of solution: '\ :2 j~)f Total gallons used: ... / rQ
Date of treatment:
£- ~'ù-ì
Time of Treatment:
o Footing
r:J 1st Treatment
o R e~ treat
D Slab
. 0 18t Treatment
aRe-treat
o Driveway
o 1st Treatment
ORe-treat
Q Pools
o 1st Treatment
ORe-treat
I:J Other
D 1st Treatment
I:J Re-treat
.Perimeter for Final Inspection
FBCI04.2.6 Certificåt~ of Prótèt:tive Treatmlttt.tfor prevention ofte.rmites~
A weather resistant jobsitt! postin.g board shall be provided to r~ceive
duplica.te Treatment Certificatëj l1.f ëåCh required protective treatme12t ir
completed, providing a copy for tlte person the permit is is$lJ.ed to and
another copy for lIte. building permit files. The Treatment Certificate jhall
providt: the pradi{ct u.sed, identity of ¡he applicarGr~ time and date of tltt!
treatment, site location, area treated. chemica.l used. percellt concentration
and number of gallons used, to establish a verifiable record of protective
treat.ment. If thè soil cht!micål barrier met/¡od lor tennite prevention is used,
fino.' exterior treatment .'ìlta.ll be completed prior to final building approval.
St Ltt~ie County requires for the final inspection for CO, B Permanent
Sticker to be placed OD the electrical pane) box cover, listing ~ll the
treatments and dates of applications.
NOTE:
Tilere must be a cQmpleted form for each reqlJired 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.ill.~pectiC)n fee charged.
~
S· ;f ..
Ignature 0 exterm.nator
Rt,'is~d 6/13102 dmg