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Certificate of Termite Treatment
Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 lGd3- CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: 1'169 - QYS 3 JOB BUILDER/CONTRACTOR: PEST CONTROL CONTRACTOR: EV PEST CONTROL LICENSE #: JB175775 TERMITE & PEST CONTROL INC. 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 if area treated: ?-0V Chemicals used: DOMINION 2L Percentage of solution:.05% Date of Treatment: 10 Qy-2019 Footing 1" Treatment Re -Treat Drivg _way c 1' Treatment Re- e ,Other t~vc Treatment Re -Treat Total gallons used: Z© Time of Treatment: c �'o O Slab 1"` Treatment Re -Treat Pools 1st Treatment Re -Treat xn Perimeter for Final Inspection PAUL C LUGARA JR o�°a ai.i p:oszoVW % 13 Signature of Exterminator Date 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. FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite posting board shal/be provided to receive duplicate Treatment Certiflcates as each required protective treatment is completed, providing a copy for the person the permit /s issued to and another copy for the building permit files The Treatment Certificate sha//provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of Protective treatment. If the so/l chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final bui/ding 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.