HomeMy WebLinkAboutTermite Treatment Mar-�1 ' 0,09:06a p.1
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Planning &Development Services
S J = Building&Code Regulation Division
2300 Virginia Ave
- Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMI #: (C)-C)qd@ JOB ADDRESS: ` 5� Ca(,)-.e C
BUILDER/CONTRACTOR: P Lcs?--e- <i U"s
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:Jel75775
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.G Square feet if area treated: COO GF. Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: �GD
Date of Treatment: i0 2yZo Time of Treatment: C5 D
Footing Slab
15t Treatment ist Treatment
Re-Treat Re-Treat
Driveway Pools
15t Treatment lst Treatment
Re-Treat Re-Treat
Other x�Ax Perimeter for Final Inspection
1st TreatmentPALL G
Re-Treat
PAUL C LUGARA JR 0,!e;201410M 10.1241 AIM LU3AjAJR
Signature of Exterminator Date
Note: There must be a completed form for each required treatment or 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,
FBC104.2.6 certificate of Protective Treatment for prevention of termites A weather resistantjobs/te posting board
shall be provided to receive duplicate Treatment Cerdflcates 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 ofthe applicator, time and date ofthe treatment,site location,area
treated,chemical used,percent concentration and number ofgallons 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
i `
Mar' 09:06a p.2
•Termite inspection / st15 Christ j5 Cora 772=323-7921
• Termite Pretreatment e -
Pest Control f d-A-801 roll free: 1811865-9998
• Rodent Service termite& fax:112-940.5990
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&R318A 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
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS(LOTIBLOCK) CITY,STATE COUNTY
NOTES ZIP CODE
TREATMENT TYPEIAREA .
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLlFOOTERS Q ADDITION
❑CUTOUTS ❑FOOTER D FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT ❑TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE ❑DOMINION 2LACTIVE INGREDIENT Q TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT ❑IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
99ND TRATION
❑.06% ❑.1% ❑.12% ❑.25% .❑.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
OYES ❑NO ❑'MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
❑YES ❑NO DETAILS
00Certificate 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 Com lip ance: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 t
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER
Payment Terms; Payment due at time of service.
ulu4Nprup,
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Date Applicator.(EvictA Bug Termite and Pest Control,Inc.)
Date Customer(Property OoerorAgenl)
www.evictabugpestcontrol.com
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