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Building &Code Regulation Division
4a 2300 Virginia Ave
° Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
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PERMIT #: GY
_90'0 .- 06 5d JOB ADDRESS: ' a /�` _
BUILDER/CONTRACTOR: as@,,Ts
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:J13775775
F 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: �— Chemicals used: DOMINION 2L
Percentage of solution: .05%4 r Total gallons used: 57
Date of Treatment: 1 � r Time of Treatment: } "
Footing $lab
11t Treatment 1s�Treatment
Re-Treat Re-Treat
Driveway Pools .
1st Treatment
Re-Treat Re-Treat
Other P eter for Finales ion
1t Treatment
Re-Treat PAU L �. er P c LUGARA J
'0. 43.191 :a
Si tore of in Date
Note: There must be a completed form for each required eatment or re-tr ent and this form must be on the job
site to be picked up by the inspector at time of each Insp ion or the sche led inspection will fail and a re Inspection
fee charged.
FBC104.2.6 Ceitlficate of Protective Treatment forpreventlon of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each requlred 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 shail
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
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