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Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT # 0 1 L' U� ')!t JOB ADDRES
BUILDER/CONTRACTOR:�1 �
S1yS Hcr,;n� � 1
PEST CONTROL CONTRACTOR: The Bug Assassin's LLC
PEST CONTROL LICENSE #: JB274536
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.
�'�e feet eet if area treated. Chemicals useds 7L
Percentage of solution:
Date of Treatment: � ' �•� "��
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used:
t
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
_ Re -Treat
r_Perimeter for
Signatu
rminator
nspection
Date
Nofe: There must be a comp/eted 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 will fail and a re -inspection
fee charged. 4,/(:)
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting 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 pro vide 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 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.
Devised 7/24/2014