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Building & Code Regulation Division
• 2300 Virginia Ave
• -- Fort Pierce,FL 34982
772-46.2-2172 Fax 772-462-6443
CERTIFICATE OF7ERMITE TREATMENT
CONSTRUCTION $OIL TREATMENT
PERMIT #: X0(o - 03Q, I JOB ADDRESS: .91S-5
BUILDER%CONTRACTOR: V\arvk- b,O U e_
PEST CONTROL CONTRACTOR:. EVICT -A -BUG TERMITE & PEST CON OL INC.
PEST CONTROL LICENSE #.: JB175775
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: �--_- --- "OMINION 2L
" t
Percentage of solution: .05% cc
j1 Ja g
Date. of Treatment: 1 5'
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
•eatment
'neat
Pools
V Treatment
Re -Treat
PerimeterAir it Fina �InspIon
PAUL C LUGARA JR, ;mom, i;.nW g gµ 'R
Signature of Exterminator Da
Note.: There must be a completed form for each required treatment or re -treatment and this form must be on the
site'to be picked up by b`ie inspector at bmme vo each inspection or the scheduled inspection w/// fail and a.re-%nspec
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A' weather resistant jobsite posting boi
shall lie provided to receive duplicate Treatment Certificates as each required protective treatment Is completed,
providing acopy-for the person the. permit Is Issued to and another copy for -the bu/lding permit files The Treatrne,
Certificate shall provide the product used adentity.of the applicator; time and date :ofthe areatment, site location,.treated chemical used, percent concentration and number of gallons used,; to establish a ver1fiable. record of
protective treatment.- If the soll chemical barrier method .for termite Prevention is used final exterior treatment sh
be completed prior to final-bullding 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.
Revised 7/24/2014: