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StLucie County IDspeft~EIVED
2300 Virginia A venue
Ft Pierce, FL 349~2 MAY 1 U 2007
(772) 462-2172
public Works
st. Lucie county, FL
I. CERTIFICATE OF TERMITE TREATMENT
oS IT::> -~.3-0 CONSTRUCTION SOIL TREATMENT
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PERMIT # b JOB ADDRESS '0i'
BIDLDER J:t;, !ðAl,rlrf,tc.A,vA-l
PEST CONTROL CONTRACTOR tJ '\ \ \ 5 e.rJ\ EN\) \~¡J Me;J~
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PEST CONTROL LICENSE #
We, the undersigned, hereby certify that we have pretreated the above--desc:ribed construction for
subterranea.n termites in accordance with the standards of the National Pest Control Association.
ßÒht- ícA 7(,
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Square feet of area treated: Cf 7 S-O
Chemicals used:
Percentage of solution:
(2) Jð
Total gallons used:
Date of treatment:
L(2&~Dl
Time of Treatment:
Q Footing
Q 1st Treatment
~ 0 Re-treat
~ Slab
, . tßlJst Treatment
ORe-treat
o Driveway
o 1st Treatment
ORe-treat
a Pools
o 1st Treatment
o Re-tr~at
I:J Other
o 1st Treatment
I:J Re-trðat
Q Perimeter for Final Inspection
FBCI04.2.6 CertifiCått oj Protèctive Treatmetùf()r prevention ofte.rmites.
A weather resistant jobsitt! posting board shall be provided to r/!.ceiv~
duplicàte Treatment Certificata~ IU eaclt requiTed protective treatment is
completed. providing a copy for the person the permit is issued to a.nd
another copy for tTte building permit files. The Treatment Certificate shall
provide t.he product used, identity of the applicator, time and date of the
treatment, si.te location, area treated. chemical used. perCtmt concentration
and number of gallons used, to establi$h a verifiable record of protective
treatment. If the soil cMmical barrier method fðr termite prevention is used,
final exte.rior treatment: .'iltall be completed prtor to final building approval.
St Lude County requires for the final inspection foJ:' CO, a Permanent
SUcker to be placed on the electrical pane1 box cover, listing øll the
treatments and dates of applications..
NOTE:
Tltere must be a completed form for each required treatmènt Qr 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-in,'\pec!ion fee charged.
Rt"is~d 6/13102 dmg