HomeMy WebLinkAboutTermite TreatmenttStn-oyl3
Planning & Development Services
Building & Code Regulation Division
23oo Virginia Ave
Fort Pierce, FL, 34982
772-462-2172 Fax 772-462-6"3
PERMIT#: 30PAD[;C ESS:'
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: jews775
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;1 t Chemicals used: DOMINION 2L
Percentage of solution: 05% Total gallons used: 125- 20-'- (
U
Date of Treatment: . 2018 Time of Treatment: .00
---Footing
-I't Treatment
-Re-Treat
-Driveway
-1� Treatment
-Re-Treat
Other
_1't"Tre6tment,
Re -Treat
Slab
-1st Treatment
Re Treat
Pools
-I't Treatment
Re -Treat
=Perimeter for Final Inspection
PAUL c,LUGARA JR Xq
Signature of Exterminator to
Note,- There mustbe a completed form for each tWWTd treatment or re-&eatment,and t&S form must be on the job
.5ize.1Apba,P1c*ed by the 1nspa0or,,at&me of OadI7 Inspection,ar the sc-heddlo
fail and°are rnspeetiat'
fee .o�arged
F shall
C204-2.6 Ceftficate of
i7 I J�be pro Wded to , lrece*4
pro ding a copy kr Me, Pa,
Celtftate shall pro Wde the
&VOte,%r 6efl7kat'Used, Pet
PrO&ICOve
St Lulcie, t;
Pftennftes. A weather resistantjobs(te postr,7g board,
earn req,vlredprotac#v,-4reatmentisTmpleted,
bn, are4.
Planning & Development Services
1 = Building & Code Regulation Division
' 2300 Virginia Ave
• Fort Pierce, FL 34982
, 772-462-2172 Fax 772-462-6443
DRESS: L 7 Z r•
EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: J6175775
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: 1C
Percentage of solution: .05%
Date of Treatment: q/'�f
Foing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: i 7d
Time of Treatment: 9' cc
Slab
2r- Ist Treatment
Re -Treat
Pools
Is'Treatment
Re -Treat
Perimeter for Final Inspection
S' nature of Exterminator 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,
F6C104.2.6 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 Ales 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 ver#Zable 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 elates of applications.
Revised 7/24/2014
• Termite Inspection y,,5 Christ is �o 772-323-792 1
•Termite Pretreatment � • Pest Control fdlCr-A-B�g ha Toll Free: 1-877-365-9990 • Rodent Service Termite &Pest Fax: 772-340-5990
• 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 t I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
e're y P1 t
DATE OF SERVICE f !:;� e ; TIME
DEVELOPMENT NAME (PROJECT) CONTRACTOR'SjNAME CONTACTpERSON
STRUCTURE ADDRESS (LOTBLOCK) CITY, STATE COUNTY
, AJ *f C— i f�. �n _�,..,...1 f t.f',�. f...l}✓ .t_>*.! �� "> 1 z•v T'—...ems ��.L ...i
NOTES /J }('( �4J) `ti lZIP CODE `
IKEAIMENIIYNELRAtA
❑ FLOATING 00�OIONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT , TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGREDIENI
CONCENTRATION
'DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
p"IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .12% %❑ ..25°�f {�] �I.05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED 176
SQUARE FOOTAGE / l/� l�' 1. LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
re YES ❑ NO CI'MEASURED OR VERIFIED PER PLANS RECEIVED
JOB READY CONDITIONS MET r SEP_ 2'1 2018
*ES ❑ NO DETAILS Permitting Department
ae County
As per 104.2.6 FBC - If soil chemical harrier 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
Payment Terms: Payment due at time of service.
Date
❑ OTHER:.
Applicator: (EvictA Bug Termite and Pest Control, Inc.)
Date
Customer (Noperty Owner or Agent)
www.evictabugpestcontrol.com