HomeMy WebLinkAboutTermite 11111 Planning &Development Services
Building &Cale Regulation Division
23W Yrginia Ave
Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: l-11::J1-0 JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMIT&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.
L
Square feet if area treated: � �� Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used:
Date of Treatment: ( ' o Time of Treatment: /�-:!z
---Footing Slab
1-Treatment 1't Treatment
Re-Treat Re-Treat
Driveway Pools
1Vt Treatment 11t Treatment
Re-Treat Retreat----vz
Other Per' eter for Final I ect
10'Treatment - z_. -_
j
Re-Treat '
S" nature of E minator Date
Note; There must be a completed form for each require treatment re-treatment and this form must be on the job
s/te to be p/cked up by the Inspector at r1me of each Inspectlon or the scheduled inspection will fail and a re-inspection
fee charged
FBC104.2.6 Cert/flmte of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
sha/l be provided to rece/ve duo/lcate Treatment Certlflcates as each required protective treatment is completed,
provid/ng a copy far the person the perm/t/s Issued to and another copy for the building permit files, The Treatment
Certificate shall prov/de the product used, IdentJty 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 chemIcai barrier method for termite prevention is used, final exterior treatment shall
be completed prior to Ana/bullding 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.
RMW 9/24/2014
W
• Termite Inspection Je5u5 Christ is �orq 772-323-7921
• Termite Pretreatment E Vic f-A-Bug Tall free: 1-811385-9998
• Pest Control Termite & ME 772-349-5999
• Rodent Service Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefl Treatment " Inc.
y 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)
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE TIME
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON
fi
t
STRUCTURE ADDRESS(LOT/BLOCK) _ CITY,STATE COUNTY
NOTES ZIP CODE
l ,
TREATMENT TYPEIAREA
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALL/FOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT ❑TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE ❑DDMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT a"IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% ❑.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED 1'
1 .P j
SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
OYES ❑NO ❑MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
0 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.)
If this notice is for the final exterior treatment,initial and date this line
FINAL STICKER
O ELECTRICAL PANEL ❑WATER HEATER ❑OTHER
Payment Terms: Payment due at time of service.
Date Applicator:(EvictA Bug Termite and Pest control,Inc.)
Date Custome q"6-pe Kner or Agent) 2,� l tE$3 ,11
www.evictabugpestrontrol.com
t
Termite Inspection e5�j5 cn15; ;SOr ,� 0 4
U
Termite Pretreatment
Pest Control Termite � F � �
Rodent Service
} 49
€pest
.abug a ms' cum
• Fire Ant Lawn Service Control, Ern� --1
i® Whitefy Treatment
sv , . _ .
mLicensed & Insured Lic J3175775 r.
alm �.!ty;
Notice of Preventative Treatment for Toren es'
(as required by Florida B>4dWg Code(FBC;) iO4,2.6 and Broward Co .i :t?+
PEST PREVENTION I FIRE ANT SERVICE 1 TERMI-=SERVICE F <C'_;SIGN - -_F -
DATE OF SERVICE -iPr1E
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S'` tF -
STRUCTURE ADDIRESS(LOTteLOCiC} TY
NOTES
TREATMENT TYPEIAREA
U FLOATING Ll MONOLITHIC D 7,L7,i3 I GARA : J DRIVEiA`=` - -_ - 1__ y J ADDIT
Q CUTOUTS ZI FOOTER ENTRY 3 RE T- J BORAQ z
TA%11P T„_ - 7 TREAT wi:.", AL 3 POC K 11 OTHE
PRODUCTS
J BASELPNE :i C . .LION 2LACTIVE:,1.SREDiENT ❑TER.. _ __ ❑SG t, C-=
LJ OTHER
r alr=R_ 1z------ vi��t^-"Li;Fkiu�T�diT-ell �•�OITUT,OGI.,30 fHitiETRAHYDRATE _ _-.._
cr7SEev, - —. _
CONCENTRATION
L].06% ❑.1% -? '2=': _v of.w'`: _ _ :3 OT EF GALLONS APPLIED
SQUARE FOOTAGE LLNEAE-FOOTAGE
ft
SQUARE FOOTAGE VERIFIED
YES �NO 'Q MEASURED OR V ER c?PL '
JOB READY CONDITIONS`DIET =
YES DETAIL
As per 104.2.6 FBC-If soil chemical barrier mete--f _ _ =r_nfior u_-=.Final exteriortrea.-- mpieted prior to final blf C PrY x4
Certificate of Compliance:The building has receive.. treatment .' prevention of subte:;-: x Treatment is in accordares EAln.--Ss
and laws established by the Florida Department ofAgr.e !-ire and Consumer 1'z:jices,(Per.the Florida'E _.e.)
If this notice is for the fina} initial and date this line
FINAL STICKER a *•
1]ELECTRICAL PANEL - --- --=R OTHER-
PaymentTerms: Paymer ...._
r
Date APpk - _ ,..«and P,
Customer
Date =
-- - ciabugpestCor. - :__