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V
Planning &Development Services
J Building &Code Regulation Division
2300 Wrginta Ave
Fort Pierce,FL 34982
772-462---U72 ftx 772--4fi -.6443-
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT ##
0�- 0,,� JOB-ADDRESS; 121 NE-Nar_an}a.Avenue,
Port Saint Lucie,FL.34983 BUILDER/CONTRACTOR:
PEST CONTROL
CONTRACTOR: Trusty's Pest Control PEST CONTROL
LICENSE #:-JB183203-
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: upstar Gold.
Percentage of solution: 10.060/6 Total gallons used: 2i
Date of Treatment: 03/25116 Time of Treatment:
Footing Slab-
1stTreatment tst Treatment
Re-Treat Re-Treat
-X--Driveway Pools
V Treatment V Treatment
Rb-Treat --Re=Treat
Other Peinal In ection
1�Treatment 677- , --
Signature
-Re-Treat of Exterminato
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 uaby the,inspectorat time of eaclrinspecbcfr or thescheduled inspection-will fail and a re-inspection
fee charged_..
FOC 104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment c'erbficates as each required protective treatment is completed,
-pro dinga-copy-for-the-persorrthepermit-is-issued-to-and another copy--for-the building permit-fi1es. The Treatment
certificate shall provide the product-used, identity ofthe-applicator,time and date-of the treatment,site-location,-area
treated,-chemical used,percent concentration and number of ga#or 7s used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatmentshall
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Snicker to be placed on
the electricat panet box cover, listing all;the treatments-and date&cif applications.
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