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� J..., 7.- Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #; ` (� - dl 22 JOB ADDRESS:
BUILDER/CONTRACTOR;
PEST CONTROL CONTRACTOR: EVICT'A-BUG TERMITE & PESO" CONTROL INC.
PEST CONTROL LICENSE #: JB175775
subterranean termites in accordance with the standards of the National
We, the undersigned, hereby certify that we have pretreated the above described construction for
Pest Control Association.
Square feet if area treated: /
Chemicals used: DOMINION 2L
Percentage of solution: .05%a Total gallons used: �SC)
Date of Treatment. ) Time of Treatment: Cl
Footing - Slab
i" Treatment 5� _ _. ... .
Re -Treat f Treatment
-Driveway Re -Treat
Pools
Treatment 1 Treatment
Re -Treat Re -Treat
Other er'rreteffQr Inspe n
1" Treatment
Re -Treat
U �9M i PAUE q
oae z
i nature of Exte ator Date
Note. There must be a completed form for each requir treatmen re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection
fee charged.on e scheduled inspection will fail and a re inspection
FBC104,2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each requlred protective treatment is completed,
Pr
oviding a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treatea,chemical 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 appro val.
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 7/24/20I4