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St Lucie County Inspections
2300 Virginia Avenue
Ft Pierce, FL 34982
(772) 462-2172
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CERTIFICATE OF ,TERMITE TREATMENT
..31. '- CONSTRUCTION SOIL TREATl\1ENT
PERMIT#<J:tÐ1>-O:!:>\D JOB ADDRESS QUû~ {{\~~ t~~
BUILD~RC2e6 .
PEST CONTROL CONTRACTOR DILIGENT ENVIRONMENTAL SERVICES, INC.
PEST CONTROL LICENSE # JB 9 449 5
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 AS$ociation.
Square feet of area treated: d CO
Chemicals used: ~. 'ß\J ~C
Total gallons used: LlO
~
Percentage of solution: · 7.~
Date of treatment: ~:¿' ~' 1-'
Time of Treatment:
D Footing
o 1 st Treatment
o Re.:treat
O' Slãb '- '..
o 1 st Treatment
ORe-treat
o Driveway
. 0 1 st Treatment
ORe-treat
p~s.,
, ']:a' 1 st Treatment
D Re-treat
o Other
o 1 s1' Treatment
ORe-treat
o Perimeter for Final Inspection
FBCI04.2.6 Certifica~e of Protective Treatmentfor 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 pennit is issued to and
another copy for-the building permit files. The Treatment Certificate shall
provide the product used, identity of the applièator, time and date of the
treatment, site location, area treated, chemical used, percent concentration
and number of gallons used, to establish a verifiable record ofprotective
treatment. .lfthe 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. .
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.
Signature of extermin~to r
Revised 6/13/02 dmg