HomeMy WebLinkAboutLac Termite Treatment to SLC Bldg DeptPlanning & Development Services
,fir k°fiE` Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: iX/f ~ a _Y(6, JOB ADDRESS: _S C 'tc �
BUILDER/CONTRACTOR:()
PEST CONTROL CONTRA OR: EVICT -A -BUG TERMITE & 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,
Square feet if area treated: jr - Z�bt Chemicals used: DOMINION2L
Percentage of solution: .05% Total gallons used:
Date of Treatment: w i _ Time of Treatment; * 0—
Footing Slab
lst Treatment 1" Treatment
Re -Treat Re -Treat
_Driveway Pools
`1 Treatment 1" Treatment
Re -Treat Re -Treat
Other .Perimeter for Final Inspection
1st Treatment
Re -Treat
Si at of Exterminat Date
�r
Note There must be a completed form for each req ui eatment 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
FBC 104.2.6 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 soit chemical barrier 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
.........
e505 Christ is Lor
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Met -A-801 p
r. Termite & Lic. JB175775
1 Pest
Control,
Inc.
Pest Prevention Termite Protection
NOTICE Of TERMITE PROTECTION
THIS NOTICE w --TED PURSUANT 1 . SECT0N 1,04.2.7; FLORIDA
BUILDING w ND CHAPTER 432.226 F..,F E2A STATUTES
pate of WDO Ins: -n (if Made) "..Evidence -Activity =_ ,
Date of Initial `rreatr~ant V Materials use-
Date of Fina; Exter ct rre irre a ___ M,rtteriais dJs f.--
Wood 0&-s--Ditag Organism Treated For
This crc"r 3s neen treated and p?aced und_ z e .z' n+ ... r.. tra . ;w sub`enanean
ter-4e� s !act isrenewab,by17«,nrz z r `s;z)erebyadvised to
w ;aspected annuauy by Evc, ' -'_ !, Inial
�e & Pest Control Inc
W US regarding our Pe= w.r . eAnt Lawn ✓
au&e, Sruace d « i ,
772*32341921 "• 1-877-3615-999 W a
evAv,evictabugpestcontrol.ccm « ewic,,�i..;y ;grarailk6i"i
4293 SW High Meadows Ave. • Palm City, FL 34990 "`
s Christ is � 772-323-7921
- Termite inspection 5�I
Termite Pretreatment N&I-A-8119 roll free: 1.811-385.9990
- Pest Control 0 Termite & Mr. 772-240-5990
- Rodent Service Pest Email Evictabug@gmaii.com
- Fire Ant Lawn Service Control,
• 1111hitefly Treatment
Inc. 4293 SW High Meadows Ave.
=n"� .
- Licensed & Insured Lie, JB175775 Palm City,FL 34990
Notice of Preventative Treatment for Termites _
(as required by Florida Building Code (FBC) 104.2.6,105.10 & 11318,1 and Broward County Chapter FBC 105.2.2);
PEST PREVENTION 's FIRE ANT SERVICE 1 TERMITE SERVICE i R �• _ #, LISION &REMOVAL I VVHITEPt Y T*.� ;"„'tiENT
DATE OF SERVICE ------.--- - --- _. ......
DEVELOPMENT NAME '(PROJECT)
CONTRACTOR'S NAIVE CONTACT PERSON
CIT COUNTY
STRUCTURE ADDRESS(LOTIBLOCK)
NOTES
TREATMENT TYPElAREA
❑
LIC
WALLIFCCTER5 G ADDITION
G FLOATING 0 MONOLITHIC U PATIO LJ GARAGE LI ~'
L] CUTOUTS G FOOTER LJ FRONT ENTRY G RETREAT G B-- .ARE TREATMENT G PLUMBING CUT C::TS G SIDEWALKS
G TAMP & TREAT G TREAT ONLY t dNa1 LU POOL DECK L-1 C aE
PRODtdt"i'� .
J TER&I'I: UR .;C BORACARE ;J PREMISE Ll TALSTAR a
J IMIDACLAPRID Ll BIFENTHRIN G DISODIUM OCTABORATE TETRAHYDRATE
ACTIVE INGREDIENT
MNSENTRA 10
"a ❑ y% ®OT'HER _._:��-_- GALLONS APPLIED._...__.:
u l NMR F®OTA
S,.,UQ_ARE:F_001AGE VERIFIED
L] YES G NO Ll I "E+^ CR VERIFIED PER PLANS
JOB READY CONDITIONS WT-
G YES G NO DETAILS —r — — ---...__. _._
"Certificate of Compliance”
Asper 104.2.6,105.10&R318.1 FBC - If soil chemical barrier method for termite prevention is used.
Final exterior treatment shall be completed prior to final building approval.
Certifigglk of Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with Pules
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
G ELECTRICAL PANEL G WATER HEATER G OTHER _ ------____ -__ __;.---_---- ,------ - ---
Payment Terms: Payment due at time of service.
Date Applicator: (Evict A Bug Termite and Pest Control, Inc.)
NT9lttkil e
Customer (Property Owner or Agent) ntro
Date www.eviCtabugpestcotrol.com