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7 'F - Building & Code Regulation Division
2300 Virginia Ave
' Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
ERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PER IT #: b }o JOB ADDRESS: c t D L F4. Part 34q2rl
BUI ERICONTR CTOR:
PE CONTROL CONTRA{
PE CONTROL LICENSE
e, 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.
qua feet if area treated: Chemicals used:.
0II
Percentage of solution. Total gallons used:
Date of Treatment; -
_ Ling
1' Treatment
—Re-Treat
—Driveway
riveway
_1" Treatment
Re -Treat
her
__1' Treatment
Re -Treat
Time of Treatment;
_Slab
—1' Treatment
Re -Treat
_Poo Is
1' Treatment
_Re -Treat
_Perimeter for Final inspection
Signature of E inator Date
+pte. 7rcre mclStbe completed forrrr for each required treatment or re-treatn,)crrtand th15 form must be ors tha)4.0
ed
fee by the inspector at trine of e lnspectlpn or the scheduled inspection kvrll Earl aitd a r�rr�specfrbrr
FBC104.2.fi Certificate ofProtectIve Treatfl707t fOr Pn' P)en ton Ofterrnfkt s A weather resrst,9f)t obsrte si ll be provided to rep &ve dupl�Cate Treatmer�t Cererfrcates as eacYr � postifag hoard
providrrr' a [ao for the required protective treatment is completed,
Y persp the permit is issued to arnY another copy for the building permit giles The l-reatment
Caftifrc4e sho{!Pro vide the product used, Identity ofbre,wtator, time and date of me treatment, site location, a s
Plotted, p tre tm ris�ecl, percenttor+centr3t7x and number Ofga{lOns used, to es blrsh a venfiabl- fword of
protechu� tree cr t, f the scr{ chemical barrier Method for termite prevanjt on rs used Erna! exterior treatment she{{
be completed prior to final burldri7g appro va!
St lucre County requires for the final inspection for CO, a permanent Sticker to be placed on
the eleI ctricai panel box cover, listing all the treatments and dates of applications.
Revised 7r�412o1¢