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Building &Code Regulation Division i
2300 Virginia Arne
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 6 J B ADDRESS: 5-3-ol ?5Cx.i t;n.g
BUILDER/CONTRACTOR: ?/0)5
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB176778
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: UZ7 Chemicals used: BASELINE
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Percentage of solution: .Or,% Total gallons used:
rr��
Date of Treatment: aq I Time of Treatment: -0" 01 `
Footing ✓ Slab
1st Treatment �1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
R -Treat Re-Treat
.��Othe 4L Per' r for Final Inspection
ist Trea ent
Re-Treat
qi9dature of Exterminator Date
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 wl{I fall and a re-Inspection
fee charged.
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FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite 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 penir It 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 vedflable 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 Lucia County requires for the final inspection for C®,a Permanent Sfiticker to be placed on
the electrical panel hose cover, listing all the treatments and slates of app!lications.
Revised 7/24/2014
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