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_ Planning &Development Services
^ y� Building &Code Regulation Division
p 2360 Virginia Ave
o Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
1516 , 6 30 3 CONSTRUCTION SOIL TREATMENT
PERMIT #: JOB ADDRESS: '?Q2,0 J0/11114/t rol,
BUILDER/CONTRACTOR: r,,701d.44 ALOWeS
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB176775
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: 7 G,' 3 Chemicals used: DOMINION 2L
Percentage of solution: ..05% Total gallons used:
Date of Treatment: J Time of Treatment: q Y D
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1"Treatment
�O_Re-Treat
Re-Treat
ry Perimeter or Final Inspection
lst Treatment
Re-Treat
Signature tf Extermin for Date
4/
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
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro viding a copy for the person the permit/s issued to and another copy for the building permit files The Treatment
Certificate shall pro vide 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 applications.
Revised 7/24/2014