HomeMy WebLinkAboutTermite Treatment r y
Planning &Development Services
Y Ln Building &Code Regulation Division
C0UNTY, 2300 Virginia Ave
_ 0 R I o__• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT )OB ADDRESS: 57 D 3 W14"
BUILDER/CONTRACTOR: - ddi aA.,9
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&P CONTROL INC.
PEST CONTROL LICENSE #: JB175775
71
We, the undersigned, hereby certify that we have pretreated the above described constructiontfor
subterranean termites in accordance with the standards of the'National Pest Control Association.
Square feet if area treated: �1 Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used:
Date of Treatment: °'� Time of Treatment:
-Footing Slab
Treatment 1t Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspect' n
1st Treatment
Re-Treat (�
Signaturg of Exterminator D e
17
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 resistantjobsite 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 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
• Termite Inspection esu -s Christ is, o 772-323-7921 .
• Termite Pretreatment a
• Pest Control fVICt-A-Bug T®II free: 1-811:365 9990
Termite fax:112-340-5990
• 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 ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE 6I�/7 c-�7 0 TIME 16)W
� r
DEVELOPMENT NAME(PROJECT)
CONTRACTOR'S� MEG� r� ,t�r? ` CONTACTPERSON
Ell
—��,
STRUCTURE iA�DDRDRESS(LOVBLOCK) ,j f ~'� CITY,STATE !J COUNTY
E-703 k1l c,�oll0 Ar - �?�f�P , -/ �. `S-1_ UC l
NOTES . f ZIP CODE
TREATMENT TYPE/AREA
•Ll FLOATING ,O MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
;l ❑CUTOUTS, ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
•W-TAMP&TREAT tl_ EA
TR7:ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE ,.� %DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE LJ PREMISE ❑TALSTAR
r' ❑OTHER
ACTIVE INGREDIENT- `L IMIDACLAPRID O BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
E3.06% I t]'.1% ❑.12% ❑.25% 111.05%.05% ❑23% El 9% ❑OTHER GALLONSAPPLIED y
SQUARE FOOTAGE d ` LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
.W YES ❑NO �E(MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
O YES ❑NO DETAILS
• "Certificate of Compliance"
Asper 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 `
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHERR,:,;
Payment Terms: Payment due at time of service.
h/SO7 0
Date/ / Applicator:(Evict A Bug Termite and Pest Control,Inc.)
Date I Customer(Property Owner or Agent)
www.evictabugpestcontrol.com