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TERMITE TREATMENT CERTIFICATION - 6-26-19
Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: l b l -©O,�C 1 JOB BUILDER/CONTRACTOR: Ct/, PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC. PEST CONTROL LICENSE #: JB175775 iec EcIedcIQ 3yS ys 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: oQ0 & Percentage of solution: .05% Date of Treatment: o +e9 g, —ro�vcrr, rr- 1s Treatment Re -Treat Driveway �1 Treatment Re -Treat Other 1st Treatment Re -Treat Chemicals used: DOMINION 2L Total gallons used: :"9- 0) Time of Treatment: , - 0 G Slab 1st Treatment Re -Treat Pools 1t Treatment Re -Treat xxxxx Perimeter for Final Inspection PAUL C LUGARA JR D te:2o signed o0910.1zai woolJR &_Z/ Signature of Exterminator ate 00, 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 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 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 Anal 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