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-- a 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
y CERTIFICATE OF TERMITE TREATMENT
.CONSTRUCTION SOIL TREATMENT
PERMIT #: ZGc JOB ADDRESS:
BUILDER/CONTRACTOR: ,
PEST CONTROL CONTRACTOR:
PEST CONTROLLICENSE #:
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.
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Square feet if area treated: Chemicals used: �� -
Percentage of solution: r �� l�� Total gallons used:
Date of Treatment: Time of Treatment:
Footing Slab
1st Treatment 1't Treatment-
Re-Treat Re-Treat
Driveway Pools
15t Treatment 1't Treatment
Re-Treat Re-Treat
Other Final Inspection
1st Treatment .
Re-Treat
fpna�4reA — [=xterpal
'tor
Note.—There must be a completed form for each required treatment or re-treatment and uns 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.
FBC104.2.6 Certificate of.Protective Treatment for pt`eventfon of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective t�eatment 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 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 otappl lications.