HomeMy WebLinkAboutTermite Treatment Planning &Development Services
46TI419901 Building &Code Regulation Division
COUNTY 2300 Virginia Ave
• I D A Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:i1r,d - 61( JOB ADDRESS: ?q&I ��A�2�� � ►� LjiI�� SFV
BUILDER/CONTRACTOR: fro +Gxans�-r .l�'►a�
PEST CONTROL CONTRACTOR: EVICT-A-BLIG 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:3� 55 Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: )7y
Date of Treatment: 1 Time of Treatment: ID- /I
Footing Slab
1St Treatment X' ist Treatment
Re-Treat z�'--Re-Treat
Driveway Pools
1St Treatment 1St Treatment
Re-Treat Re-Treat
OtherPerimeter for inal Inspection
11t Treatment
Re-Treat
Signature of E ermi#Or Date
Note: There must be a completed fon77 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 inspectlon will fail and a re-inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobs/te 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 concentratlon and number ofgallons used, to establish a verifiable record of
protective treatment if the soil chemical barrier method for termite prevention is used, final exterlor treatment shall
be completed prior to final bullding 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, �5u5 Christis `Or '2-323-7921
• Termite Pretreatment �® EVICt-A-Bug p Tolf Free: 1-877-365-9990
• Pest Control Termite & Fax: 772-340-5990
• Rodent Service _ Pest
Ste Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 2373 SW Woodridge St.
• Licensed & Insured Lic.JB175775 Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code(FBC)104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE ITERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE — ) ` (� TIME /D-11
' DEVELOPMENT NAME(PROJECT) S. CONTRACTOR'S NAME 1 CONTACT PERSON
lUv /
STRUCTURE ADDRESS,(LO.T/BLOCK f d CITY,STATE COUNTY
fnt\-U"-\ � Gk-Pc,
t NOTES/ �I-C` (�e(�` / ZIP CODE
r� 1-10ek
TREATA ENT TYPE/AREA
❑FLOATING MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
�,W
AMP-B TREAT ❑TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS . 1
❑BASELINE _\d64'/DOMINION 2LACTIVE INGREDIENT 13TERMIDOR SC ❑BORACARE C]PREMISE ❑TALSTAP
❑OTHER
ACTIVE INGREDIENT -�, f0 IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% E3.12% ❑.25% 0`05% ❑23% ❑9% ❑OTHER GALLONSAPPLIED 7 b
SQUARE FOOTAGE nh / LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
Q YES ❑NO MEASURED OR VERIFIED PER PLANS
AM
JOB READY CONDITIONS MET
❑AYES C3NO '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
Padment Terms: Payment due at time of service.
Date Applicator:(Evict A Bug Termite and Pest Controljo
Date Customer(Property Owner or Agent)
www.evictabugpestcontrol.com
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