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TERMITE TREATMENT CERTIFICATE
r Planning & Development Services Building & Code Regulation Division I�r' • 2300 Virginia Ave SGAM4Li • Fort Pierce, FL 34982 BY 772-462-2172 Fax 772-462-6443 st, ucip. rnintl CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL (T�RrE/ATMr ENT ---- PERMIT #: I q0L 0gd3 JOB ADDRESS: t- 16 lone P!,-ve BUILDER/CONTRACTOR: ` w-V 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 subterranean termites in accordance with the standards of the National Pest Control Association. Square feet if area treated: $2 Chemicals used: DOMINION2L Percentage of solution: .05% Total gallons used: _36 Date of Treatment: 2018 Footin l 1� Treatment Re -Treat Driveway 1st Treatment Re -Treat Other lst Treatment Re -Treat Time of 3O Slate V Treatment Re -Treat Pools 15t Treatment Re -Treat xxxxx Perimeter for Final Inspection PAUL C LUGARA mien W 10MM`.�o.W '" 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 tie picked up by the inspector at time of each inspection or the scheduled inspection will fall and a re -inspection fee charged. FBC104.2.6 Certificate of Protective Treabnent 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 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 venfiable record of protective treabnent. If the soil chemical barrier method for termite prevention is used, final extenor 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. 7/24/2014 Planning & Development Services Building & Code Regulation Division SCANNED Virginia Ave Fort Pierce, FL 34982 Eby 772-462-2172 Fax 772-462-6443 St, LUrjecol v CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT — . 190 -7- 0 Ua3 PERMIT #: ' `—��!� L JOB ADDRESS: ��111P Lori e�.� D✓- r vi�� BUILDER/CONTRACTOR: —I Pvyi �. jWe c-S 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 subterranean termites in accordance with the standards of the National Pest Control Association. Square feet if area treated: Percentage of solution:.05% Date of Treatment: d �a i©V Footing - 1st Treatment Re -Treat Driveway 1st Treatment R -Treat Other W RL c— K1t Treatment Re -Treat Chemicals used: DOMINION2L Total gallons used: '�) O Time of Treatment: 0 - (90 Slab 1st Treatment Re -Treat Pools 1st Treatment Re -Treat Perimeter for Final Inspection Signat re of Exferminator 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 provide4 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 extedor 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