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Building Code Regulation Division
O '300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE �O� F TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 1� of it C JOB ADDRESS: NG /'d/18v/ ell.
BUILDER CONTRACTOR: ` c4,&
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMIT&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB175775
We, the undersigned, hereby certify that we have pretreated the above described construction for .
subterranean termites in accordance with th8 standards.of the National Pest Control Association.
Square feet if area treated: bD Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: 0
Date of Treatment: ��i6b( Time of Treatment:
Footing = - - - - Slab--
1. lst Treatment 1st Treatment
Re-Treat I Re-Treat
Driveway Pools
1st Treatment 1st Treatment
!'Re-Treat
YOtherl C41A -p�uon4 Perimeter for Final Inspection
1st Treatment
Re-Treat
Signature of Exterminator to
Note. There must be a completed form for each:4, ulred treatment or re-treatment and this form must I re 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.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weatherresistant jobsite p sting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is com 71eted,
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, tor, time and date of the treatment,site l cation,area
treated, chemical used,percent concentration and number ofgallons used, to establish a verifiable recor of
protective treatment. If the soil chemical barrierethod for tennite prevention is used,final exterior trea tment shall
be completed prior to final bul/ding approval.
St Lucie County requires for the final inspection for CO,a Permanent Sticker to be placed on
the electrical panel box cover, listing ali the treatments and dates of applications.
Revised 7/24/2014
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