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_ Building&Code,Regulation Division
0 2300-Virginia Ave
Fort Pierce, FL 34982.:
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
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PERMIT JOB ADDRESS: wt" [rdr,
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT-A-BLI TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB175775
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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: Chemicals used: �omI(A/irxnJ�
Percentage of solution: f �y Total gallons used: DICZ
Date of Treat 2-1 V' 0-1-1 Time of Treatment:
- ooting L-3 l/
Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment st Treatment
Re-Treat a-Treat
Other P i eter for Final Ins coon
1st Treatment J
Re-Treat
Sig ture of Extermin Date
Note; There must be a completed form for each required tr atment or re-tre ent and this form must be on the job
site to be picked up by the Inspector at time of each inspe on or the schedu ed inspection will fail and a re-inspection
fee charged.
FBC104.2.6 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 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 veritable 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