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CERTIFICATE OF TERMITE TREATMENT
Planning & Development Services s _ Building & Code Regulation Division Cq 2300 Virginia Ave • Fort Pierce, FL 34982 Sf `4Ci�yN�� 772-462-2172 Fax 772-462-6443 CO�hf'/ CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #J(E)22L01 ( ADD ESS: �9 5- �i&k D& BUILDER/CONTRACTOR: S' PEST CONTROL CONTRACTOR: l ' PEST CONTROL LICENSE #: -rh W4700 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: ' Ob 0 Date of Treatment: Footing 1s` Treatment Re -Treat Driveway 1'` Treatment Re -Treat Other 1st Treatment Re -Treat Total gallons used: Time of Treatment: a ` �© P4,71 • Slab 1s` Treatment Re -Treat Pools 1�` Treatment Re -Treat Pet�m�ter for Final In Fv F}-1 h-f 0. u'f jglq)'�v 0. 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 resistantjobsitepostingboard shall be provided to receive duplicate Treabment 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 veritable record of protective treatnent ff the soil chemical barrier method for termite prevention is used, final exterior kgghN��Cshall, be completed prior to final building approval. ��` '�Z b St Lucie County requires for the final inspection for CO, a Permanent Sticker toga% ced�•`'�+ the electrical panel box cover, listing all the treatments and dates of applications Revised 7/24/2014 Off' b n a Neee