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Planning &Development Services
Building &Code Regulation Division
COU WY 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 161 J V 5 ' JOB ADDRESS: [63 77 q 3�y`ls
BUILDER/CONTRACTOR: Mf Kt F'(OJ5 cOXci-
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:JB175775
We, the undersigned, hereby certify that we have pretreated the above described construction for
s bterranean termites in accordance with the standards of the National Pe Control Association.
G���ei{� � �I��on Z�
9quomaJeet if area treated. Chemicals used:
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Percentage of solution: a, ��� I Total gallons used:
Date of Treatment: 11/ �Zaz� Time of Treatment:
I
Footing --Slab— ------ -- --- — -- --- -- - - --
1st Treatment 1st Treatment
Re-Treat Re-Treat
C---Driv�ewaa EalW.
� �Q PoolsStTreatment 63p 1 Treatment
Re-TreatRe-Treat
Other Perimeter for Final Inspection
15t Treatment ! J
Re-Treat ( /7lZoz2
I
Signature of Exterminator (Date
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 resistantjobsite 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 lissued 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.I'
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.
Revised 7/24/2014