HomeMy WebLinkAboutTermite Final Treatment Certificate Termite Inspection eS05 Christ is for 772-323-7921
• Termite Pretreatment fVl�f-A-BUQ Till fPee: 1-811365.8880
Pest Control Termite & faN. 772-340-5999
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, 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 r� I')0 TIME ,`3"'
DEV�E[LOPMENT NAME(PROJECT) CONTRACTOR'S NAME t C NTACT PERSON
I Trt,,,�s —7 R111Z,-fir
fflf
STRUCTURE ADDRESS(LOTIBLOCK) CITY,STATE COUNTY
Lt yI i 4 61vJ �x t
0 TES ZIP CODE
'� # o l Ii j 3� 4
TREATMENT TYPEIAREA
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT TREATONLY )CFINAL ❑POOLDECK ❑OTHER
PRODUCTS❑BASELINE VOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE LiTALSTAR
❑OTHER
ACTIVE INGREDIENT )&IDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06%a ❑.1% ❑.12% ❑.25% *5% ❑23% ❑9% ❑OTHER —GGALLONS APPLIED 13,5 of
SQUARE FOOTAGE LINEAR FOOTAGE 4j-s
SQUARE FOOTAGE VERIFIED
} YFS ❑NO 4eASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
YES ❑NO DETAILS
"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 Consu r Se ' es.(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
ment Terms. Payment due at time of service.
Date Applicat :(EviCtA g rmite nd P Control,
6 / _
Date Customer(Property Owner or Agent)
www.evictabugpestcontrol.com
Planning & Development Services
- J - Building &Code Regulation Division
2300 Virginia Ave
Namm--- Fort Pierce, FL 34982
772-462-2172: Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: �- 00 JOB ADDRESS: LIL I f Lure Dv d
BUILDER/CONTRACTOR: &+< (adf f�lun
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMIT&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: a�� l.� Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: 3
Date of Treatment: J� Time of Treatment: "
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat ` Re-Treat
Other �/ eri eter for In ection
1st Treatment
Re-Treat � '�
Sig ature ermiroffor Date
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.
FBC 104.2.E Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each requiredprotective treatment is completed,
pro viding a copy for the person the permit is issued to and another copy for the building permit 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