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St Lucie County Inspections
2300 Virginia A venue
Ft Pierce, FL 34982
(772) 462-2172
CERTIFICA TE OF TERMITE TREA TME
CONSTRUCTION SOIL TREA TMENT
PERMIT# D7 03-D32 0 JOB ADDRESS ~/.p(¡J i/~
BillLDER JII~)L /~ ,~
PEST CONTROL CONTRACTOR ·
PEST CONTROL LICENSE # 'I f {p 1
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 of area treated:
?5óéJ
75
Chemicals used: ¡?~ 7 C
Total gallons used: ~O
Time of Treatment: ff.'cx:J A /V1
Percentage of solution:
Date of treatment: fo - /2 - Ò 7
o Footing
o 1st Treatment
ORe-treat
o:tSlab
o 1 st Treatment
ORe-treat
o Driveway
o 1st Treatment
ORe-treat
o Pools
o 1 st Treatment
ORe-treat
o Other
D 1st Treatment
ORe-treat
o Perimeter for Final Inspection
FBCI04.2.6 Certificate 0/ Protective Treatment/or prevention o/termites.
A weather resistant jobsite posting board shall be provided to receive
duplicate Treatmelzt 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 Treatmem Certificate shall
provide the product used, identity of the applicator. time and date of the
treall1lent, site location, area treated, chetnical 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.
~;/1J~
NOTE:
There must 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-inspection fee charged.
Signature of exterminator
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