HomeMy WebLinkAboutTermite Treatment i!
Planning &Development Services RECEIVED
_ Building &Code Regulation Division
2300 Virginia Ave NOV 13 a020
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 Permitting Department
St. Lucie county
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 190'1- 0160 JOB ADDRESS: 5-00�- G Al-,,5o1.
BUILDER/CONTRACTOR: / ill%S A4suetS
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.
L;n.¢a.r
-Square feet if area treated: 360 Chemicals used: DOMINION 2L
�. Percentage of solution: .05% Total gallons used: �50
Date of Treatment: LO �( Time of Treatment:
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
lst Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1St Treatment /
Re-Treat
Signat re of Exterminator Dat
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.
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
• Termite Inspection e5U5'christ.;s.�or 772-323-7921
• Termite Pretreatment f et-A-Bug a l911 free: P811-385-9999
• Pest Control Termite & fax:772-349-5809
- Rodent Service ti Pest
• Fire Ant Lawn Service -- Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lie.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 FIR�jE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I W/H-ITEFLY�TfREATMENT
DATE OF SERVICE�� (?``\I /I TIME `S — 90
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME f CONTACT PERSON i
STRUCTURE ADD ESS(LOT/BLOCK) CITY,STATE J COUNTY `
NOiES ,f GC�•Q1�Q - V ZIP CODE
TREATMENT TYPEIAREA � f
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑,STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS Q FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT -t]TREAT ONLY i0 FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE ,Q DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE. ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT ill IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% �0.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED 1
50
- SQUARE FOOTAGE LINEAR FOOTAGE ���•
SQUARE FOOTAGE VERIFIED.
�/,GI,YES ❑NO `17 MEASURED OR VERIFIED PER PLANS
I
JOB READY CONDITIONS MET
)O YES ❑NO DETAILS
i°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 Consumer Services.(Per the Florida Building Code.)
If this notice is for the final exterior treatment,initial and date this line C-J7 /(�
FINAL STICKER
ELECTRICAL PANEL ❑WATER HEATER ❑OTHER
Payment Terms: Payment due at time of service.
{' �y4txUuuunmq,
Date Applicator:(Evict A B4 Termite and Pest Control,Inc.) Gr
Date Customer(Property Owner or Agent)
www.evictabugpestcontrol.com