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Building a
77
CERTIFICATE
CONSTRU
PERMIT #: r1`)�
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: Evlc
PEST CONTROL LICENSE #: JB175775
We, the undersigned, hereby certify that we
subterranean termites in accordance with th
Square feet if area treated: a-:>
Percentage of solution: .o5°i°
Date of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Note; There must be a completed form for eac
site to be picked up by the inspector at time of
fee charged.
�C Development Services
Code Regulation Division
300 Virginia Ave
rt Pierce, FL 34982
2172 Fax 772=462-6443
D F TERMITE TREATMENT
TION SOIL TREATMENT tot
ADoreDRESS: `'��� �'n�► h�� f�I f rI� c
D� l6
T-A-BUG
TERMIT &PEST CONTROL INC.
ave pretreated the above described construction for
standards of the National Pest Control Association.
Chemicals used; DOMINION 2L
Total gallons used: i � _�
Time of Treatment: + ��-�
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
required treatment or re -treatment and this form must be on the job
Bch inspection or the scheduled inspection will fail and a re -inspection
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weafher resistant jobsite posting board
Mall 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
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 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