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REC
EIVED
' APR
6 1A21
Planning &Development Services Permitting G�nartment
Building&Code Regulation Division sr. �„�;` Qpar count�,
COUNTY 2300 Virginia Ave
Fort Pierce,Fl.34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE-TREATMENT
CONSTRUCTION SOIL-TREATMENT
PERMIT #:Sys 1193`060�30B ADDRESS:l3��7 S. -ridgy ►l�icre� _
BUILDERXONTRACTOR:
PEST CONTROL CONTRACT �G- _. Cc..l J-(?_ �,��►,-4� ,
- PEST CONTROL LICENSE #: :/-; 1`l y-2,0`)
z 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: �1/6�SC�°Q-C`►� �`uz
. t66 ®
Percentage of solution: �� Total gallons used: a
Date of Treatment: r�-� Time of Treatment �`P
\l Footin ab
71st Treatment ! Treatment
Re Treat Re-Treat
Driveway Pools
1 Treatment ! Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
l Treatment
Re Treat
Signature of Exterminator Date
Note. Mare mustbe.a completed farm frrr each required fmalment orm-treatment and this form must be i
site to be picked up by the inspector at time ofem*inspecu'on or the scheduled inspecuon will fail and a r&
fee charged.
FBclo4.2.6 G'ertiBcate ofPmterUve Treatment forprevendon oftenmites A weatherrnsWantfobsite past
shall be provided to receive dupllzate Treatment Cerocates as each riggUzed protective treatment's comple
providing a copy for lire person the permit is Issued to and another copy for the bullding Permit files The Tr
CetVflcate shall provide the product used,identity of the applkator,time and date of Me traatmen4 site loce
treated chemical used,percent concentration and number ofgallons used, to establish a ven fable record a
protective treatment If Me sell dremical banMrmethed for termite preventfon's used,final a0wor freabr
be compleeted priorto tirral buildrng approval.
St Lucie County requires for the final inspection for CO,a-Permanent Slicker to be plan
the electrical panel box cover,listing all the treatments and dates of applications.
Revised 7/24/2014
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