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Planning & Development Services
Building &Code Regulation Division
® 2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: - JOB ADDRESS: ak" 6a
BUILDER/CONTRACTOR: o l-i 4 o , Cie
PEST CONTROL CONTRACTOR: ICT- LIG TERMIT&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB175775
We, the undersigned, hereby certify that we have pretreated the above described construction f
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: o
Date of Treatment: -?� v a Time of Treatment: Q D
Footing Slab
_ist Treatment K 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 11t Treatment
Re-Treat Re-Treat
Other Perimeter for Final Insp/Ttion
15t Treatment
Re-Treat p b
'3
Signat r�& Exteermina�tor ate
Note: There must be a completed form for each required treatment or re-treatment and this form must be on the job
site to be picked up by the inspector at time of each Inspection or the scheduled inspection w111 fail and a r inspection
fee charged.
FBC 104.2.E Certificate of Protective Treatment for prevention of termites. A weat4erresIstantjobsiteposOng board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is comp ted,
pro a co for the person the rmlt is issued to and another P 9 copy p pe copy for the buildin permit files The eatment
9
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 verifiable record c f
protective treatment. If the soli chemical barrier method for termite prevention Is used, final exterior treati 7ent shall
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be pla ed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014