HomeMy WebLinkAboutTermite Planning &Development Services
Building &Code Regulation Division
® 2300 Virginia Ave
Fort Pierce, FL 34982
>�� s 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: �I Q 5 O JOB ADDRESS':../G `'1 4 .S- AyA
BUILDER/CONTRACTOR: eea j jlrc S
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&-PEST CONTROL INC.
PEST CONTROL LICENSE #:J6175775
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: 11,0 9-5 Chemicals used: DOMINION 2L
1
Percentage of solution: •05% Total gallons used:
Date of Treatment: `3 Time of Treatment:
Footing Slab
1st Treatment 1st Treatment
Re-Treat. Re-Treat
Driveway Pools
1st Treatment sr
Re-Treat t
Other Pe ' et for nspe n
1st Treatment
Re-Treat LU J m "° °""'�
01191 m
Sign to of rmin r Date
Note. There must be a completed form for each required a or re-t tment and this form must be on the Pb
site to be picked up by the inspector at time of each Jnspe n o the s duled inspection will fall and a re-inspection
fee charged.
FBC 104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobslte posting board
shall be provided to receive duplicate Treatment Certificates as each required protective teatmentis completed,
providing a copy for the person the permit is issued to and another copy for the bullding permit files The Treatment
Certificate shall provide the product used,Identity of the applicator, time and date of Me 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 b eatment 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 )e5�5 Christ is Lora 772-323-7921
Termite Pretreatment EVICT-A-019 lo!!Free: 1-81I-385-9950
• Pest Control Termite& ME 772-349-5998
• Rodent Service - Pest
• Fire Ant Lawn Service control, Email: Evictabug@gmail.com
• Whitefly Treatment 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 TERMITE5ERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
nn 91
�
DATE OF SERVICE >7� 0 TIME
D ELOPMENT NAME(PROJECT) CONT CTO ' NAM CON A T PERK
STRU TU NDRESS(LOCK) �` CITY STATE (�� � COUNTY ,
NO `.%I-Inl {`- ZIP CODE
6 �- 0112 3-N�s�
TREATMENT TYPEfAREA
❑FLOATING MONOLITHIC ❑PATIO ❑GARAGE DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TR ATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT �TREATONLY FINAL ❑POOL DECK 03*THER VAJ —r—t ^4f e,
PRODUCTS
❑BASELINE DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION n'
❑.06% ❑.1% ❑.12% ❑.25% i '.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED
SQUARE FOOTAGE V 601 LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
YES LINO MEASURED OR V CRIFIEDP�s
JOB READY CONDITIONS MET UU
YES ❑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 line4--�
FINAL STICKER f/ �M -
Pa❑ELECTRICAL PANEL ❑WATER HEATER /OTHER t�(Payment due at time of service.
wwu+rnrr,
ica .( vict g Termite and Pest Control,Inc.) s.
to
Date Customer(Pr Owner or Agent)
O+rt{11Nn111111�'
www.evictabugpestoontrol.com