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Planning &Development Services
t J Building &Code Regulation Division
• 2300 Virginia Ave
o Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
I
PERMIT #: 1701-OSZ,? JOB ADDRESS: -s
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB175775
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: 0 Chemicals used; vcki 2 L
Percentage of solution- a 4rS Total gallons usrd: lj
Date of Treatment: Time of Treatment:
_ Footing
Ist Treatment / P Treatment
Re-Treat Re-Treat
Driv,ew� Pools
1st Treatment 1st Treatment
Re-Treat } RQ-Treat
L/Otherc2e Perimeter for Final Inspe, ion
1st Treatment
Re-Treat PAUL LUGARA �;",10„LW
4- -- �.3;��17
Signature of Exterminator Date
Note. There must be a completed form for each required treatment or re-treatment and 's form must be on the�I ob
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 resi tantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective atment Is completed,
providing a copy for the person the permit is issued to and another copy for the building Irmit files The Treatment
Certifcate shall provide the product used,identity of the applicator, time.and date of theeatment,site location,area
treated,chemical used,;percent concentration and number of gallons used, to establish a ��JJ��d able record of
protective treatment. If the soil chemical barrier method for termite prevention is used, r al exterior treatment shall
be completed prior toAnal bullding approval.
St Lucie County requires for the final inspection for CO,a P rmanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and,dates of app !cations.
Revised 7I24/2014 RECEIVED S E P-2 6 .2017