HomeMy WebLinkAboutTermite cert Feb. 7. 2019 1 :37PM Benchmark III No- 4819 P. 4
1,010
Planning &Development Services
�^ Building&Code Regulation Division RECEIVED
iCOLINTY 2300 Virginia Ave FEB 0 71019
D A Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 Perrnitting DePartme
St. Lucie count,
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: Iq6 l QW) JOB ADDRESS: 1QUO 5;. 6C,01J
BUILDER/CONTRACTOR: _^ 10 11( .s` r\ T/ 4 f
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE a Pi=ST 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; c) Chemicals used: DOMINION 2L
Percentage of solution: .0504 1Total gallons used: �
Date of Treatment: _ 2-" I _ Time of Treatment: 1*7
notinaSlab
11t Treatment L-1ifeatment
Re-Treat Re-Treat
Driveway Pools
1'3�Treatment 11t Treatment
Re-Treat Re-Treat
pier Peri ter for Fina T tion
1't Treatment
Re-Treat /
Sig ture of Exter ' ator Date
Note; There must be a completed form for each required tment or re-treatment and this form must be on the job
site to be picked up by the Inspector at time of each/nsp ion or the scheduled inspection will fall and a m-inspection
fee charged.
FBc104.2.6 Certificate of Protective rreatment 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 bullding permit files. The Treatment
Certlocate 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 verltlable record of
protective treatment, if the soil chemical bawler method for termite prevention is used,final exterior 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
4111
• t ermite Inspection �5 Christ is �72-323-7921
Je5 orq
• Termite Pretreatment ..',fvict-A-BIIQ Toll free: 1-d11-365=9990
• Pest Control ';; aik. Termite & fax:112-340-5990
• Rodent Service ow�-_-.i� N Pest
• Fire Ant Lawn Service - . } Control, Email: Evictabug@gmail. com .
• Whitefly Treatment 4293 SW High Meadows Ave.
• Licensed & Insured Lic.JB175775 Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code(FBC) 104.2.6 and Broward County Chapter FBC 105.2.2) I
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE yr>' ' ,2 i i TIME C' ,(-1 1-i
I
DEVELOPMENT NAME(PROJECT) _ CO(`JTRACTOR'S NAME CONTACT PERSON
t ' CO1•• ,. r ��
I�l-r'i�r,�,r, � _�i .:a,- + . „trr-, t�-1"+._�`�t r�,r�f�,1a--f�� rlGultc/
STRUCTUREADD) ESS(LOT/BLOCK) CITY,STATE • COUNTY
( :-.K .;:l_ fl,./Y9,7-LC � 5. (70=--�)`� j-(P, � C) 61(7,1/1 McMt,`-/LO
NOTES '-' ZIP CODE
fl ' `', 1 •, Kc.
Tyr , <;Clr� !( , J^._� 1 r'-f-)1,:,:')
TREATMENT TYPE/AREA
O'FLOATING .0 MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALL/FOOTERS ❑ADDITION
❑CUTOUTS '❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT O PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT .O TREAT ONLY •. ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE ';0 DOMINION 2L ACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER '
ACTIVE INGREDIENT - O-IMIDACLAPRID-O-BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% 0„..055% CI23% ❑9% ❑OTHER GALLONS APPLIED
y�
SQUARE FOOTAGE )t/J . ('2_ ) LINEARFOOTAGE
" I
' SQUARE FOOTAGE VERIFIED
(���i
YES ❑NO EASURED OR VERIFIED PER PLANS I
JOB READY CONDITIONS MET
(10-YES__ ❑NO DETAILS
As per 104.2.6 FBC-If soil chemical barrier method for termite prevention is used.Final exterior treatment shall be completed prior to final building approval.
Certificate of Compliance:The building has received a complete treatment for the prevention of subterranean termites.Treatment is in accordance with rules
and laws established by the Florida Department of Agriculture and Consumer Services.(Per the Florida Building Code.) C
If this notice is for the final exterior treatment,initial and date this line
Tor
FINAL STICKER
a
0
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER
Payment Terms: Payment due at time of service.
P
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Date Applicat r:(Evict A Bug T mite and Pest Control,Inc.)
! I ---/.---////4 CYLI )\,./I''l
Date Customer(Propert(//
wner orAgent) `*��' ''�m1; �ginli��'k. s
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www.evictabugpestcontrol,com