HomeMy WebLinkAboutCertificate of Termite TreatmentPERMIT #:
Planning.,& Development Services
Building & Code Regulation'Division' C _.Ce
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE:'OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT &If
qc-kuq8 JOB ADDRESS: 1®I - d�� V) .S 1�22 W
BUILDER/CONTRACTOR: r
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: JB175775
-A-BUG TERMITE & PE6T CONTROL INC.
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: -,15-d
Percentage of solution: .05%
Date of Treatment: `
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1"` Treatment
Re -Treat
Note. There must be a completed form for each rey
site to be picked up by the inspector at time of each
fee charged.
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
����Re-Treat
Pefixiieter for FinaHT
re of Extejlr6tor Date
nest M-treatment and this form must be on the job
or theduled inspection will fail and a re -inspection
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 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
us Christ is
""Termite Inspection Jes�orq
• Termite Pretreatment ® ffiet A -Bug
• Pest Control Termite &
• Rodent Service Pest
• Fire Ant Lawn Service Control.
• Whitefly Treatment Inc.
772-323-7921
Toll free:1-911385-9990,
Far 772-349-5999
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 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIBRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE lO / TIME J
DEV5LCPMENT o 4; NAME (PROJECT) CONTR(a ,(-4/ 4 ME rl� �� ONCj P )RSON
STRUCTURE ADDRESS (LOT/BLOCK) � CITY, STATE ` N� COUNTY Of
NOTES ZIP CODE
q5�
TO C ATMCAIT TVDCIA DCA t
❑ FLOATING
❑ MONOLITHIC
❑ CUTOUTS
❑ FOOTER
❑ TAMP & TREAT
c TREAT ONLY
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ FINAL ❑ POOL DECK ❑;OTHER AAnI:�2 ?.
rr
i
OrDOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
4 IDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .1% ❑ .12% f'❑ .25% ❑ .05% ❑ 23% ❑ 9%
SQUARE FOOTAGE C/
SQUARE FOOTAGE VERIFIED
YES ❑ NO
JOB READY CONDITIONS MET
r� YES ❑ NO
f/ \
❑ OTHER )GALLONS APPLIED `�-� -5
LINEAR FOOTAGE
#ASURED OR VERIFIED PER PLANS
DETAILS
As per 104.2.6 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
l/
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
L- 3-��
Date
Date
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