HomeMy WebLinkAboutTermite CertPOST OFFICE BOX 186
FT. PIERCE, FL 34954
Indian River (772) 778-9188
St. Lucie (772) 461-8335
FAX (772) 465-7665
CONSTRUCTION CORPORATION CG C013084
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GENTLEMEN:
WE ARE SENDING YOU Z Attached ❑ Under separate cover via
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples
❑ Copy of letter ❑ Change order ❑
LIEU E D (01FUMHOWDUML
DATE
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ATTENTION
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the following items:
❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
710
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THESE ARE TRANSMITTED as checked below:
XFor approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use [—]Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO /
SIGNED:
If enclosures are not as noted, kindly notify us of once.
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
Termite &
Pest
Control,
Inc.
772-323--7921
Teal! Free:1-811305-9999
Fax:112-849-5999
Email: Evictabug@gmail.com
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 1 FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE TIME I
DEVELOPMENT NAME (PROJECT) CONTRACITOR'S NAME CONTACT PERSON
i t,� a v 1 1 / - {-
STRUCTURE ADDRESS (LOTIBLOCK) CITY, STATE COUNTY
NOTES .+li5 Srtafc ,Ty cGl&,rrs lw7"�A47,10,/4 `- ZIP CODE
❑ FLOATING ❑ MONOLITHIC
❑ CUTOUTS ❑ FOOTER
❑ TAMP & TREAT ��REAT ONLY
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑.06% ❑.1%
SQUARE FOOTAGE_
❑ PATIO ❑ GARAGE
❑ FRONT ENTRY ❑ RETREAT
IFINAL ❑ POOL DECK
l
❑ DRIVEWAY
❑ BORA CARE TREATMENT
❑ OTHER
❑ STEM WALLIFOOTERS ❑ ADDITION
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
(C]#MINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
— ❑ IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .12% ❑ .25% P .05% ❑ 23% ❑ 9% ❑ OTHER
1�
SQUARE FOOTAGE VERIFIED
❑jYES ❑ NO
EIAEASURED OR VERIFIED PER PLANS
LINEAR FOOTAGE
GALLONSAPPLIED
JOB READY CONDITIONS MET
C11 YES ❑ NO DETAILS
"Certificate of Compliance"
As per l04.2.6, 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 Se Ices. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line / 117 .��
FINAL 5T_ ICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
Date
Date
Applicator: (EyictA Bu Termite anal Past Control, Inc.)
'7
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com
cif _�L
Planning & Development Services
' - = Building & Code Regulation Division
COUNTY2300 Virginia Ave
IF L • R I D AFort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 1'�. 0 -067 7� JOB ADDRESS:
BUILDER/CONTRACTOR: _ 4g2vi z�> j,(-Q1r "- -
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.
c
Square feet if area treated: / y l r
Percentage of solution: .05%
Date of Treatment:
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:) (-( d
Slab
1st Treatment
Re -Treat
Pools
nature of Exterinator Date
C�_ C241
Note: There must be a completed form for each required treatment or rel eatment 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.E 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