HomeMy WebLinkAboutTermite Cert• Termite Inspection 5,j
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
rist is Lard 772-323,-7921
f -A -Bug tell Frio: 1-811 315-9999
Pest ite & Fax: 712-348-5990
Control, Email: Evictabug@gmail.com
Inc. 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, 105.10 & R318.1 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 �) (J --c I �' TIME !
DEVELOPMENT NAME (PROJECT) �'' `� CONTRACTOR'S NAME CONTACT PERSON
r j J
'I �`. (11
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE COUNTY
NOTES zIF UOtiE
TREATMENT TYPE/AREA
r-0 _ELqATING
❑ MONOLITHIC ❑ PATIO
❑ BORA CARE TREATMENT
❑ POOL DECK
❑ CUTOUTS
❑ FOOTER ❑ FRONT ENTRY
❑ TAMP & TREAT
�U YREAT ONLY ❑ FINAL
PRODUCTS
❑ BASELINE
DOMINION 2LACTIVE INGREDIENT
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ GARAGE
❑ DRIVEWAY
❑ RETREAT
❑ BORA CARE TREATMENT
❑ POOL DECK
❑ OTHER
❑ STEM WALL/FOOTERS ❑ ADDITION
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
(P-IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
L3.06% ❑ .1% ❑ .12% ❑ .25% 9405% ❑ 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE 6) 61, LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
ES ❑ NO �I-MEASURED OR VERIFIED PER PLANS
GALLONSAPPLIED u
JOB READY CONDITIONS MET
e ❑ia ES_ ❑ NO DETAILS
"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
❑ ELECTRICAL PANEL ❑ WATER HEATER 0 OTHER
Payment Terms: Payment due at time of service.
Date
Appiicator: (Evict ABug Termlteand Pest Control, Inc.)
Date Customer (Property Owner or Agent)
(rrly+ilutll{11y1U
www.evictabugpestcontrol.com
Planning & Development Services
Building &Code Regulation Division
2300 Virginia Ave
IF - Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 2,203 6IVJOB ADDRESS: I w ,
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:
Percentage of solution: .05%
Date of Treatment: C.2�
t/Footing
lir Treatment
Re -Treat
Driveway
1St Treatment
Re -Treat
Other
1St Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Trea t:
Slab
St Treatment
Re -Treat
Pools
1St Treatment
Re -Treat
P ri�meter f r Fin spection
p .M��
of Wrminator Date
Note: There must be a completed form for each required"treatmentidr 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 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