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8t Lucie County Inspections ///~~0
2300 Virginia Avenue /'/, ~ý '-'~rD
Ft Pierce, FL 349~2 '~r'; ¡ ð JJ:)j
(772) 462-2172'~" <'00;>
-¡'CERTIFICATE OF TERMITE TREATMENT ',//
CONSTRUCTION SOIL TREA TMENT
PERMIT # <1 C ..(",;~ 7-. O"Q '- JOB ADDRESS ¡;Q30 L{A ~ \ clt
BIDLDER ()cvl i t16 )
PEST CONTROL CONTRACTOR t '\ \ \ S e.tJ\ EN\) \,(2-0~ ,M,e;6\.p!\ ~BLV J c~
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PEST CONTROL LICENSE #
We, the undersigned, hereby certify that we have pretreated the above..cJescribed construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet of area treated: ~~ 2 Chemicals used: · tel
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Total gallons used.:
Percentage of solution:
Date of treatment:
Time of Treatment:
QPooting
r:J 1 st Treatment
o Re~ treat
la 1
FBCI04.2.6 Certificâte òf Protective Treatmemfor prevention oftermiJes.
A weather resistant jobsite posting board shall be provided to rlceive
duplicate Treåtment Certificme.r (1.$ eaclt required proteétive treatment is
completed, providing a copy for tilt! person the permit is iS$ll.ëd to and
another copy for t!1e building permit files. The Treatment Certificate shall
providt: the product used, identity a/the applicator, timc and date oftlt~
treatment, site location, area treat~dl chemical used. pètCe11t concen.tration
and number of gallons used, to establish Q verifiable r(!cord of protective
treatment. if the .roil chemical barrier method for tennite prevention i$ used,
fino.l exterior treatment .'ìltall be completed prior to final building approval.
st Treatment
Re-treat
o Driveway
a 1st Treatment
aRc-treat
CJ Pools
o 1st Treatment
ORe-treat
Q Other
D 1st Treatment
l:J Re-treat
Q Perimeter for Final Inspection
St Lude County requires for the final inspéction for CO, B Permanent
Sticker to be placed on the e]edrical pane) box cover, listing "II 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 tilne of each inspectÎon Or the scheduled inspection will
fail and a re-inspection fee charged.
Signature of exterminator
RtVIJeJ 6/13102 dmg