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HomeMy WebLinkAboutTermite Sprayr a, f I _ Planning &Development Services 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 PERMIT #: b J B ADDRESS: ��- BUILDER/CONTRACTOR: •� PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC. PESTi 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. Squa a feet if area treated: qZ OL Chemicals used: DOMINION 2L Percentage of solution: .05% Total gallons used: (� Date of Treatment: Time of Treatment: L/,ADD 4'o Footing Slab 1st Treatment 1St Treatment Re-Treat Re-Treat Driveway Pools 1St Treatment 1St Treatment Re-Treat Re-Treat Other __ZPerimeter for F'nal Inspection 1St Treatment Re-Treat 1� G /L 2 Signature of Exterminator Dat Note. There must be a completed form for each required treabnent 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 arged. FBd04.2.6 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 Cert1kcate 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 shad 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 • Termite Inspection Je5LJ5 Christ is dor 772-323-7921 • Termite Pretreatment EVICt-A-Bug p Tall free: 1-877-385-9999 • Pest ControlTermite $ M 772-349-5999 • 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 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 "+ I Z ( TIME 00 DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON 4 I-1 l�'ca bc', STRUCTURE ADDRESS(LOTIBLOCK) 61q CITY,STATE COUNTY NOTES _ 1 V ZIP CODE TREATMENTTYPEIAREA ❑FLOATING �U'bONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION ❑CUTOUTS O FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS ❑SIDEWALKS ❑TAMP&TREAT r❑PTREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER PRODUCTS ❑BASELINE ,ObOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR ❑OTHER „ ACTIVE INGREDIENT SINIIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION GISe� ❑.06% ❑.1% ❑.12% ❑.25% ,17'.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED SQUARE FOOTAGE 6./ F LINEAR FOOTAGE SQUARE FOOTAGE VERIFIED OYES ❑NO ❑MEASURED OR VERIFIED PER PLANS JOB READY CONDITIONS MET ❑'YES ❑NO 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 FINAL STICKER t ❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER Payment Terms: Payment due at time of service. Date Applicator:(Evict A Bug Termite and Pest Control,Inc.) =+ e Date Customer(Property Owner or Agent) "'uerjystmg+ +� arinununnaN www.evictabugpestcontrol.com Termite Inspection esLis Christ is'`or 772-323-7921 • Termite PretreatmentEli1Ct A-9ug a Tall Free: 1-811-365-9990 Pest Control Termite & faX- 7 -349-5999 • Rodent Service Pest • Fire Ant Lawn Service - Control, Email: Evictabug@gmail.com • Whitefly Treatment inc: 4293 SW High Meadows Ave. ` Lic.JB175775 Licensed & Insured 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 f I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&R WytAI� I WH�ItTEFLY TREATMENT DATE OF SERVICE ��1�I �/J TIME CC��^^'' DEVELOPMENT NAME(PROJECT) CONTRA TOR'S NAME CONTACT PERSON STRUCTURE ADD ESS(LOT/BLOCK) CITY,STATE COUNTY ;l)-e'(14 NOTES / ZIP CODE r m 's 4+f '(W .- 03 7q TREATMENT TYPEIAREA ❑FLOATING ❑MONOLITHIC ❑PATIO O GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION ❑CUTOUTS ❑FOOTER ❑FRONT ENTRY . ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS ❑SIDEWALKS ❑TAMP&TREAT ❑TREAT ONLY. C�,FINAL ❑POOL DECK ❑OTHER PRODUCTS ❑BASELINE }O DO IMNION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR ❑OTHER ACTIVE INGREDIENT ❑kIMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION ? E3.06% ❑.1% L1.12% ❑.25% 0�05°I O 23% ❑9% ❑OTHER GALLONSAPPLIED SQUARE FOOTAGE LINEAR FOOTAGE SQUARE FOOTAGE VERIFIED O YES' ❑NO '0 MEASURED OR VERIFIED PER PLANS JOB READY CONDITIONS MET by ❑J EE El NO 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 FINAL STICKER ❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER Payment Terms: Payment due at time of service. .x aAll �,' �11,luuuu,au,r;q, Date d Applicator:(Evict A Bug Termite and Pest Control,Inc.) b �' Date Customer(Property Owner or Agent) °°` YivfES1 u` www.evictabdgpestcontrolcom