HomeMy WebLinkAbouttermite Spray Cert• Termite Inspection
eo5 Christ is La 772-323-7921
•Termite Pretreatment
• Pest Control
fVilef A-B�g rq Tallf free: 1-8 7,E 385-9990
- Rodent Service
Termite &
FBI: 772-348-5989
• Fire Ant Lawn Service
Pest
Control,
fro1, Email: Evictabug@gmaii.cam
Whitefly Treatment
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• Licensed & Insured Lie. 11175775
4293 SW Nigh Meadows Ave.
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
! TIME
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DEVELOPMENT NAME (PROJECT) C
TRA TOR'S NAME TCONTACT PERSON
p° ✓�ic�
STRUCTURE ADDRESS (LOT/BLOCK)
CITY, STATE COUNTY
to1_L
1.
NOTES
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L( ZIP CODE
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TREATMENT TYPElAREA
O FLOATING ❑ MONOLITHIC ❑ PATIO
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLlFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY
6AMP & TREAT ' TREAT ONLY ❑ FINAL
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
,-
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE WDOMINION 2L ACTIVE INGREDIENT
❑'TERMIDOR SC ❑ BORACARE ❑ PREMISF ❑ TALSTAR
0 OTHER
ACTIVE INGREDIENT
'iMIDACLAPRID ❑ BiFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
EJ,06% 11,11% ❑ .12% L1.25% ;(.05% ❑ 23%
9% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE 7112
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
RYES ❑ NO ❑ MEASURED 0 [RIFIED P R PLANS
JOB READY CONDITIONS MET
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 Agriculturle and Consumer Services. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line 01*. 1 I l
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
4'
Date
Date
p OTHER
Applicator: (Evict A Bug Termite and Pest Control, Inc.)
Customer (PrcpA Owner or
��i«Ekti1i31Ib�Ui�. .
www.evictabugpestcontrol.com
Planning & Development Services
Building & Code Regulation Division
LAEGIN I ON h 2300 Virginia Ave
Emma=.. Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: '' _'C(g,JOB ADDRESS: _2-
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 iwith the standards of the National Pest Control Association.
Square feet if area treated: -J-!a Ll Chemicals used: DOMINION 2L
Percentage of solution: .05%
Date of Treatment: 9 - 1�z ,a�oi
L'_ -Footing
st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used:
Timeof Trea nt: frG'
Slab
ment
Re -Treat
Pools
1st Treatment
-Treat
for 5 J9 In
4-04W JR
re of l=>UmOffiator Date
Note. There must be a completed form for each requiret treatment or r- treatment and this form must 6e on the job
site to be picked up by the inspector at trlme of each in.shection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 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 tiles. 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.
KeVISecl 1124/ZU14