HomeMy WebLinkAboutTermite Treatment Planning &Development Services
Building &Code Regulation Division
2360 Virginia Ave
Fort Pierce,FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
'CONSTRUCTION SOIL TREATMENT
PERMIT #: /16-! - 03SZ 70B ADDRESS: q70r
BUILDER/CONTRACTOR:
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.
Square feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: 176
Date of Treatment: v Time of Treatment:
Footing Slab
--i"Treatment 1st Treatment
Re-Treat Re-Treat
----Priveway ----Pools
—Ist Treatment 1st Treatment
Re-Treats �"'—�e-Treat
-----9ther ----Pe m ter for Final nspection
1'I`Treatment
Re-Treat 7/7v s �'
Sign of Exterminator Date,
Note., There must be a completed form for each required treatment or re-treatment and this form must be on the jab
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 far prevention of termites A weather resistantJobsihe 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 bulldIngpen-nIt files. The Treatment
Certificate shall pro vide 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
•Termite Inspections Christ ISL 772-323-7921
• Termite Pretreatment Evict-A-Bug Toll free: 1-811-315-9990
• Pest Control M Termite & fRN-7 -340-5990
• 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 ANTSERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE 01—SZ� TIME 2- '3C!5
DEVELOPMENT NAME(PROJECT) c5 CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS(LOT/BLOCK) .1CITY,STATE COUNTY
Q70,57 f �L e. Aor /4--)1emice , S��Gc,,c r)e.
NOTES / y / V ZIP COD E
--ok � 3619 E
TREATMENT TYPE/AREA
❑FLOATING ❑MONOLITHIC 21 PATIO ❑GARAGE A DRIVEWAY ❑STEM WALL/FOOTERS ❑ADDITION
❑CUTOUTS O FOOTER /❑'FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT TREAT ONLY O FINAL LJ POOL DECK ❑OTHER
PRODUCTS /
❑BASELINE DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT /❑'IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.O6% ❑.1% ❑.12% E3.25% ❑105% ❑23% ❑9% ❑OTHER GALLONS APPLIED 176
SQUARE FOOTAGE �G LINEAR FOOTAGE 3 a'
SQUARE FOOTAGE VERIFIED
❑YES ❑NO /E14EASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
%'YES ❑NO DETAILS
i°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 line
FINAL STICKER `
❑JELECTRICAL PANEL LJ WATER HEATER ❑OTHER s
Payment Terms: Payment due at time of service.
/ �0Wuiuwryrnyq
ate
Date
Date Applicator:(Evict/Bug Termite and Pest Control.Inc.)
AA
Date Customer(Property Owner or Agent)
www.evictabugpestcontrol.com