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J� c - '- Building &Code Regulation Division.
COUNTY 2300 Virginia Ave
• Fort Pierce,FL'.34982
772462-2172.Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #. ] ADDRESS C��S�_��
BUILDER/CONTRACTOR:• V�:SS
PEST CONTROL-CONTRACTOR: / / l e -7(--
- _-PESTT_ CONTROL LICENSE_#.;
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.
L I �
. .Square feet if area treated: - Chemicals used:•
Percentage of solution: 0 5 Total gallons Used:'-
Date of Treatment: Time of Treatment: / 4
_ Footing:- -. _ ^ �b
1 Treatment, 1t Treatment
Re-Treat Re-Treat
Driveway Pools .
1,5t Treatment 1t Treatment 4.
Re-Treat Re-Treat
Other ` Are
er for Final Inspection
V Treatment Aj
Re-Treat ��
Sigxterminator Date
- -. -Note.- There must bea completed form for each.required treatment or re-treatment-and=thls form must be on the job -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.
FSCi04.2.6 Certificate ofProtective Treatment.forprevention of termites A weather resistantjobsite postingbo_ard
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 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 ofgallons 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