HomeMy WebLinkAboutFINAL TERMITEPlanning & Development Services
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
P
ERMIT #: lZ , r 0,001 JOB ADDRESS:'' Ct'n
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: 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: -2 M, _
Percentage of solution: .05% .
Date of Treatment: � 3"
. Footing
1St Treatment
Re -Treat
Driveway
1St Treatment
Re -Treat
Other
1St Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: /
Time of Treatment: I a 00' ,a ` 46;�
Slab
1St Treatment
Re -Treat
Pools
re of
/Vote: There must be a completed form for each required tkatment c
site to be picked up by the inspector at time of each inspection or the
fee charged.
St Treatment
r for Final
r
Pedf��
.03.1913:38:44 -04100'
ator Date
gent and this form must be on the job
inspection will fail and a re inspection
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite 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 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
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
772=323=792'1
T011 free: 1-877-385-9999
fir 772-349-5999
Email: Evictabug@gmail.com
tic. JB175775 4293 SW High Meadows Ave.
Licensed &Insured Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6, 105.1Q-))& R318.1 and Broward County Chapter FBC 105.2.2)
j PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE _ : ' d. TIME
DEVELOPMENT NAME (PROJECT) CONTF3ACTOR'S NAME CONTACT RERSON
r
STRUCTURE ADDRESS (LOT/BLOCK) f CITY, STATE f COUNTY
P
NOTES ''6 ,� ZIP CODE
{-, r ''�l v S q'' ! 'e, .._....• c i :'1 I .t; j 011
1 RCAI MEN[ I T rVAKCA 3
❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE 0 DRIVEWAY ❑ STEM WALL/FOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT ❑ TREAT ONLY Q`FINAL ❑ POOL DECK ❑ OTHER
PRODUCTS
O BASELINE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
L3.06% ❑.1%
SQUARE FOOTAGE
O=DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC 0 BORACARE ❑ PREMISE ❑ TALSTAR
G
1MIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .12% ❑ .25% 01e.05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED
1 LINEAR FOOTAGE
._T.v
SQUARE FOOTAGE VERIFIED
O;YyES ❑ NO
JOB READY CONDITIONS MET
tq YES 0 NO
"Certificate of Compliance"
As per 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.
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 r
O % , 11 po
- ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
Date
(.O MEASURED OR VERIFIED PER PLANS
DETAILS
Date
•0 OTHER )
r
,r
,p�licator: (Evict A Bug Termite and Pest Control, Inc.)
f f
;ustomer (Property Owner or Agent)
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19i "title
www.evictabugpestcontrol.com