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Building & Code Regulation Division
2300 Virginia
FOrt Pierce, L 34982
77- _I 7µ -
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PE
BU
6443
PPE �"r�Er PEST CONTROL INC.
J�17�775
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.
Square feet if area treated:
Chemicals used. ��
Percentage of solution:
Total gallons used: �
Date of Treatment: Time of 'Treatment:
Pouting ._ Slab
Est Treatment - Ist Treatment
Re -Treat Re -Treat
Driveway Pools
1st Treatment Ist Treatment
Re -Treat Re -Treat
Other erimeter for Final Inspection
- Ist Treatment
Re -Treat
Sing ature of ermina r Date
Note. Mere must be a completed Harm for each required treatment or re -treatment and this form must be on thejob
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re-r'n pectlon
fee charged,
® Certi`ficate of Protective Treatment for prevention of termites A weather resistantjobsite posting board
shall be provided tore receive duplicate Treatment C°ertifi°cates 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 fifes The Treatment
Corti` sate shaft provride the product used, ldenti`Cy Of theapp/lcator, 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.
t Lucie County requiresr the final inspection ., f
Permanent Sticker to be placed
the electrical l box cover, listing ll the treatmentslic ti s.
Revised 7/24/2011