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657
— jT r � � 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 #:- a,00_�> 046B ADDRESS: !®' / * +at �3tc�51
BUT
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
We,jhe 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: b0 Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: 3
Date of Treatment: Time of Treatment: �!
Footing Slab _
1st Treatment 1st Treatment-
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other erimeter fy Final Inspection
1st Treatment
Re-Treat
7treatwvlr
atuxterminator Date
Note: There must be acomp/eted form for each require 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.
FBC 104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite posting board
shall,be provided to receive duplicate.Treatment Certificates as each required protective treatment is completed,
providing 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
treated, 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 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 applicdtions.
Revised 7/24/2014
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