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rip ^'1~ -yam 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 #: SLC 200q-CW 4J0B ADDRESS: `ny3 �r�dresaS �Wc,
BUILDER/CONTRACTOR: Ro.v\ie.4 '06 urt -" co(w+eU4 0r\
PEST CONTROL CONTRACTOR:: C11eAt (o�e�l�L,;, �+n�•"ru.,1
PEST CONTROL LICENSE #:
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: S3 u) Chemicals used: Cy D-eK —L C,
Percentage of solution: • 2,5 Total gallons used: �340
Date of Treatment: —20rap Ti7s'I'a
T eatment: Q.oc) AIVA
Footing b �Treatment
1st Treatment �
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment
Re-Treat
Signatu of erminator
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 w1/1 fall and a re-inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather reslstant jbbsite 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 appilcator, 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 applications.