HomeMy WebLinkAboutTermite treatment certPlanning & Development Services
S - J 711 = Building & Code Regulation Division
2300 Virginia Ave
No Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT
BUILDEI
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: LZ 5 yr
Percentage of solution:.05%
Date of Treatment: 1 U •
Footing
1st Treatment
Re -Treat
Driveway
1s` Treatment
Re -Treat
Other
1" Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
d
1 3d
Slab
I" Treatment
Re -Treat
Pools
meter
Note: There must be a completed form for each requiyd treatment or
site to be picked up by the inspector at time of each inspection or the s
fee charged
Treat
p` d
tent and this form must be on the job
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
BUILDING PERFORMANCE
INSTITUTE, INC.
107 Hermes Roatl, Suite 210
Malta, NY 12020
(877) 274-1274
www.bpl.org
4
Bp{
_
Martin Klein
BPI IDN: 60aiw3
°X (SEE REVERSE SIDE FOR DESIGNATIONS AND EXPIRATION DATES)
CERTIFIED PROFESSIONAL DESIGNATION
E%PIRATION DATE
InCdlntion & Duct t.nlugR (IDL)
ans2nv
BUILDING PERFORMANCE INSTITUTE, INC.
�i. ^�_ �' , �oC fz 2 vs
• Termite Inspection 5i is
772-323-7921
• Termite Pretreatment a EYICf
• Pest Control A -Bug rtl T811 free:1-177-385.9810
• Rodent Service Peeststite & F21. 772348-5188
P
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
- Whitefly Treatment Inc.Ave.
Meadows 4293 SW High Me
• Licensed & Insured Lic. JB175775 Palm City, flows
Notice of Preventative Treatment for Termites
4990
(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 t
TIME
DEVELOPMENT NAME (PROJECT) CO RACTOR'S NAME
CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE COUNTY
��,�,, r ��
NOTES ^ L
ZIP CODE
TGGSTYCYTT QC/went•
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT
�'CLPIITREAT ONLY
❑ FINAL
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
❑DOMINION 21.ACTIVE
INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
C,JMIDACLAPRID U BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
U .06% ❑ .1%
❑ .12% ❑ .25%
❑ .05% ❑ 23%
D 9% ❑ OTHER GALLONSAPPLIED
SQUARE FOOTAGE
LINEAR FOOTAGE -
SQUARE FOOTAGE VERIFIED
p YES ❑ NO 11 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 — \1
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATS
Payment Terms: Payment due at time of service.
Date
Date
wewnier trroperry uwner or Agent)
www.evictabugpestcontrol.com