Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITES• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
77'2-323-7921
T811 free: 1-877-385-9898
fax:112-349 5889
Email:Evictabug@gmaii.com
4293 SIN H' h M
• Licensed & Insured Llc. JB175775 IsIg eau©WS Ave.
Notice of Preventative Treatment for Termites Palm City, Ft_ 34990
(as required by Florida Building Code (FBG) 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 W HITEFLY TREATMENT
DATE OF SERVICE a� TIME
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME
STRUCTURE ADDRESS (LOT/BLOCK) _ CITY, STATE
f—ttCi C
t �c
<j # C,- c
TES
G3� � � f\�
TREATMENT TYPEIAREA
C1 FLOATING C3 MONOLITHIC C3 PATIO ❑ GARAGE LJ DRIVEWAY
❑ CUTOUTS ❑ FOOTER LJ FRONT ENTRY ❑ RETREAT L3 BORA CARE TREATMENT
LJ TAMP & TREAT BEAT ONLY SINAL ❑ POOL DECK LJ OTHER
PRODUCTS
11 BASELINE
LJ OTHER
ACTIVE INGREDIENT
CONCENTRATION
PERSON
COUNTY
ZIP CODE
qC-
d !
❑ STEM WALL/FOOTERS ❑ ADDITION
❑ PLUMBING CUT OUTS Q SIDEWALKS
l DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
1J,06% 0.1% ❑ .12% ❑ .25%
SQUARE FOOTAGE
SQUARE FOOTAGE VERIFIED
\AYES ❑ NO
!!!!!!JOB READY CONDITIONS MET
ES L3 NO
` 11IDACLAPRID EI BIFENTHRIN
05% :323%a ❑ 9% ❑ OTHER
'EASURED OR VERdF1ED PER PLANS
DETA1S
LINEAR FOOTAGE
"Certificate of Compliance"
❑ DISODIUM OCTABORATE TETRAHYDRATE
GALLONS APPLIED o� i
)-a
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 -,f i V "
FINAL STICKER
LECTRICAL PANEL LJ WATER HEATER
a ment Terms: Payment due at time of service
Date
Date
❑ OTHER
J
�ppfcator' EvictA B ite and Pe antral, Inc.
Customer (Property Owner orAgent)
www,evictabugpestcontrol.com
City of Port St. Lucie
Building Department Certificate of Compliance
.:
121 SW Port St. Lucie Blvd. for Termite Protection
Port St, Lucie, FL 34984 a 772-871-5132
Pandapublicweb.cityofpsl.com
(as required by Florida Building Code R318.1)
PERMIT INFORMATION
Permit #: 1812-0362
4500 W Midway Rd Fort Pierce, FL 34981
Address of Treatment
Legal Description (Sec/Block/Lot)
PEST CONTROL COMPANY
EVICT -A -BUG TERMITE 8, PEST CONTROL INC. PAUL C. LUGARA JR.
Company Name — Please Print
772-323-7921
License Holder Name
JB175775
Phone Number License #
TREATMENT INFORMATION
Method of Termite Prevention Treatment:
Soil Barrier ❑ Wood Treatment ❑ Bait System* ❑ Other (describe)
Final Termite Treatment 7/8/20 525 LF, 215 GL
*Per FBC 8318.1.7 — a signed copy of the contract assuring the installation, maintenance and monitoring of the baiting
system that is in compliance with the requirements of Chapter 482, F S. shall be provided to the Building Official prior
to the pouring of the slab and the system must be installed prior to final building approval.
The Buildi as received mplete treatment for the prevention of subterranean termites. Treatment is in
accorda ce ith rruu�les aw tablished by the Florida Department of Agriculture and Consumer Services.
t` 7/8/2020
Auth rized ture Date
Paul Lugara
Print Name
Form created 02/25/2019 revised 04/19/19 tv