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Building &Code Regulation Division
p ( 4 2300 Virginia Ave
(Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 60-USy JOB ADDRESS: -�_Z --s9,dc4 //1
BUILDER/CONTRACTOR: Ae-Cle G
PEST CONTROL CONTRACTOR: C'aafkl Arl 6o ' W
PEST CONTROL LICENSE #:
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.
J
Square-feet if area treated: �5 Chemicals used: 71qzs7gx�'
Percentage of solution: �G �� Total gallons used: k4 . �,��j�S
Date of Treatment: Time of Treatment: D• �c A"�
Footing Slab
1s Treatment 1t Treatment
Re-Treat Re-Treat
Driveway Pools
15t Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment �/) /f� ,' �
Re-Treat
Signa ure of Ex#rminator D to
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-inspecdon
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 treatmentshall.
be completed prior to final building approval.
St Lucie County requires for the final inspection for Cm,a permanent Sticker to be placed an
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014