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Building & Code Regulation Division
2300.Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREAT
CONSTRUCTION SOIL TREATMEN
PERMIT #: 170-" 66i3
BUILDER/CONTRACTOR: I.�
PEST CONTROL CONTRACT(
PEST CONTROL LICENSE #:
RECEIVED
AUG 2 2 2018
ENT.
ST. Lude County, Permitting
JOB ADDRESS:.,�� q 23� � �1�7
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 if area treated: Chemicals used:��.�
Percentage of solution: Z aG
Date of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
J1Vt Treatment Re -Treat
Other -�rz_c, �� _ ��15tment
Re -Treat
Total gallons used:
Time of Treatment: 12 %32 _ /: Z0
Slab
15t Treatment
Re -Treat
Pools
1" Treatment
Re -Treat
Perimeter for Final Inspection
Fee of Exterminator Date
Note; There must be a completed form for ch quired treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at ti 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 res/stantjobsite 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 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.
Revised 7/24/2014