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=RECEIVEDPlanning&Development ServicesBuilding&Code Regulation Division• 2300 Virginia Ave
• Fort Pierce,FL 3082 .
_. _ 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT *: JOB ADDRESS: S7/3 SZeQrtz xi Qk
BUILDER/CONTRACTOR: C ?� �' es'
PEST CONTROL CONTRACTOR: Pro
PEST CONTROL LICENSE 3gh
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:
Percentage of solution: ' .b5/, Total gallons used: ._ZjeD
Date of Treatment S 7-q zz� Time of Treatment:
Footing Slab
ist Treatment 11 Treatment
Re-Treat Re-Treat
Driveway Pools
15t Treatment a Treatment
Re-Treat . Re-Treat
Other x Peri for Final Inspegion
1st Treatment
Re-Treat Zo
Sign re of ExtermiMtor bate
Note: There=&be a completed form for earn required treatawtorre-fteatmentand this form mwtbe on the fob
Me to be pldted up by the inspedurat time ofeadr Inspection or the scheduled Inspection will fad and a re-InWecifbn
fee drarged.
FBC104.2.6 CerdBate of Prnbxffive Treatment for preventbn of termites A w&?ffiermsA0ntjb&ftpasft board
shall be provided to rarer dup1wate Tisatment Cerlifrrales as each required pr afecthe heatment Is aw#et s4
providing a copy for the person the permit is issued to and anot w copy for the building permit tiles The 7tatmwt
Ceriifiiate shall provide the product used,Identity of the applicator,bme and date of die heatmer4 sfie lowtron,area
(wfed,chemical used,paxent cone enbation and number of pffains used,to establish a merifble record of
ptv&xtAe hwbnent: If the soil dnynical bamermethod for termite prewj&on Is used,final exteriorbeatnrentshall
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 7i24/2014