HomeMy WebLinkAboutTermite TreatmentPlanning & Development Services
S1 _ J cj j- Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 2.00`'~03�g JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC. 3 L Gj < 3._.__
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: 9 I
Percentage of solution: .05%
Date of T�re tment: ,I % - --5 �-P
y
Footing
lst Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
is` Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: '�L_ (. i'7
Time of Treatment: �� /(7
% !! 1�` Treatment
Re -Treat
Pools
11t Treatment
gnature of
Note: There must be a completed form for each requlrW treatment or
site to be picked up by the inspector at time of each inspection or the s
fee charged.
-Treat
for nal by P Ins ion
D il. ed
. zozo.a3. :aa oeroo•
�rrlaifi or Date
`r tment and this form must be on the job
uled inspection will fail and a re -inspection
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 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 Je5,,5 Christ is - oIr 772_323-7921
• Termite Pretreatment Md A-800 Toll free:1-811-315-9999
• Pest Control Termite & Fit 112-349-5999
• Rodent Service Pest Email: Evictabug@gmail.com
• Fire Ant Lawn Service Control,
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. J6175775 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 TIME
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE ( COUNTY
CPAI- jjJ
NOTES ZIP CODE
TREATMENT TYPE/AREA
❑ FLOATING ❑ MONOLITHIC ( ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ ONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT ❑ TREAT ONLY ❑ NAL ❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE ❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑.06% ❑.1%
SQUARE FOOTAGE _
❑ PREMISE ❑ TALSTAR
RLIIMIDACLAPRiD ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .12% ❑ .25% ❑ .05% ❑ 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE VERIFIED
❑ YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
❑ YES ❑ NO DETAILS
LINEAR FOOTAGE
GALLONS APPLIED
"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
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
Date
Applicator: (Evict A Bug Termite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
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www.evictabugpestcontrol.com