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Planning &Development Services
Building &Code Regulation Division
p 2300 Virginia Ave
Fort Pierce, FL 34982
- 772-461-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 00 . JOB ADDRESS:
BUILDER/CONTRACTOR: C ,, l Bic-A Q i2LLi n& s F54- ®c-7-
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMIT&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB175775
We, the undersigned, hereby certify that we Lve pretreated the above described construction for
subterranean termites in accordance with
the standards of the National Pest Control Association.
Square feet if area treated: o� / Chemicals used: DOMINION 2L
Percentage of solution: .05% Total-gallons used: 2 �'
Date of Tre Itment: l ` ( _ Time of Treatment: C/`
eatment C—l"-Treatment
Re-Treat Re-Treat
Driveway Pools
Ist Treatment Ist Treatment
Re-Treat Re-Treat
Other) P ter for Final Inspection
Ist Treatment /r I
Re-Treat
Sig ture of Exter at Date
Note: There must be a completed form for each required eatment or re-tre meet and this form must be on the job
site to be picked up by the inspector at time of each fnsp ion or the sched led inspection will fail and a re inspection
fee charged.
FBC].04.2.6 I 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 permit files The Treatment
Certificate sha#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 ff the soil chemical barrier�ethod for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County requires for the final in, for CO,a Permanent Sticker to be placed on
the electri I panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014 '