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TERMITE CERT
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: 167o� D } � }L-G©j' BUILDER/CONTRACTOR: a/ /C 7-;f PEST CONTROL CONTRACTOR: c- IE-.j PEST CONTROL LICENSE #:_ [S 3 a C/, 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:. 3 so Vic Percentage of solution: G G Date of Treatment: 1 Foot -log 1st Treatme�r if Re -Treat Driveway 1� Treatment Re -Treat Other 1$� Treatment Re -Treat Chemicals used: M d 2- Total gallons used: t 3.- Time of Treatment: Ll;G'C�l� -7X-1s Treatment Re -Treat Pools 1s Treatment Re -Treat Perimeter for Final Inspection Signature of Exterminator Date Note: There must be a completed form for each required treatment or re -treatment and this fans must be on the job site to be puked up by the inspector at time of each inspection or the scheduled inspec on will fail and a re -inspection fee charged. FBC104.2.6 Certificate of Protective Treatment for prevention of termites: A Weather fesistant jobsite posring 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 bye product used, identity of the applicator, time and date of Me breatment, site location, area treated, chemical used, percent concenbatron 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. 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.