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&Devela meat Services
° 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
2006-0710 4205 ]Burnt Forest: Court:
PERMIT #': ]OB ADDRESS:
BUILD ER/CONTRACTOR.- am custom Pool
PEST CONTROL CONTRACTOR: Patrick-..ibttexminatincr
PEST CONTROL LICENSE #: 4864
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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: 300 Chemicals used: CYpe=et~hrin
Percentage of solution: -25 Total gallons used: 30
Date of Treatment: __. 9/9/2020 Time of Treatment: 9/9/2020@ 9.30
Footing Slab
1"Treatment 1s'
Treatment
Re-Treat Re-Treat
Driveway Pools
11t Treatment 15t Treatment
Re-Treat Re-Treat
x ether FQoI patio Perimeter for Final Inspection
x . it Treatment
Re-Treat 9/9/2020
Signature of Exterminator Date
Note. There must be a completed form for each roquil ed treatment or re-troatment and this hone 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 tennites A weather resisiantjobsite posing 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
Certlticate shall provide the product used, identity of the sppllewtar, lime and date of the treatment,site location, area
treated, chemical used,percent cnncentmhon ?/td number of gal/ons used, to astabifsh a verliFabie 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