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2300 Virginia Ave-
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TRtATMENT
PERMIT #: ,2)09 --0-51 JOB ADDRESS: "C) 20 ;
BUILDER/CONTRACTOR: ��5'iGy� Coti�Gr2
PEST CONTROL CONTRACTOR: I�►�-cQ ck ��.��2►��, �-�.r
PEST CONTROL LICENSE #: Y 2(c/
of
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: Chemicals used:
Percentage of solution:, = C7(p Total gallons used:
--- - Date of'Treatmen+•�1-�=— � - — -- _r, r.�. � �•=� --- _
�. ` -- II.IIC Ui i iedt111E:(IL:'
Footing Slab
1st Treatment 1'Treatment
Re-Treat Re-Treat -
Driveway Pools
1st Treatment 1 t Treatment
Re-Treat Re-Treat
Other Two a xa JAoks Perimeter for Final Inspection
gC 1s Treatment
Re-Treat
Signature of Exterminato
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 will fail and a re-inspection
fee charged,
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobske 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 flies. 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 of applications.