HomeMy WebLinkAboutTermite spray paperwork: ierrn!te Inspection -----772-323• 7921
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Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6, 105·10 ~18.1 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 16--. 3 -a a: TIME /a-. s <t\
DEVELOPMENT NAME (PROJECT)
I ( , \ / ,J i
STRUCTURE ADDRESS (l6T/BLOCK)
NOTES
MONOLITHIC
CUTOUTS FOOTER
TREAT ~EAT ONLY
eBQllum
CONTRACTOR'S NAM 5 • /?
. ~ou flf , ;J__ 1..., I
<;lilfRONT ENTRY
~INAL
C l f i • STATE J _) s+~
RETREAT
DECK
STEM WAWFOOTERS
IJ BORA CARE TREATMENT IJ PLUMBING CUT OUTS Fr,.,y,./ J-f"rr1 ,kTre/\t ,,...,J
BASELINE 0\ DOMINION 2L ACTIVE INGREDIENT TERMIDOR SC BORACARE PREMISE T ALSTAR
IJ OTHER ______ _
litAOOmON
I/ J J j //A _,/ ;;,,.1 ,/
ACTIVE INGREDIENT ___________ _
C0NCENTRATIQII
~IDACLAPRID BIFENTHRIN DISODIUM OCTABORATE TETRAHYDRATE
.06% .1% .12% .25% ~5% 23% 9% GALLONSAPPLIED_,_/_O.......,_0"-----
SQUARE FOQTAGE ______________ UNEARFQQTAGE ~/,~'.C/+-O _________ _
SQUARE FOOTAGE VERIFIED
~ES
JOB READY CONDmONS MET
~EASURED OR VERIFIED PER PLANS
{f'V-ES DETAILS ______________________ _
"Certificate of Compliance"
As per 104.2.6, 105.10 & R318 .1 FBC-lf soil chemical baniermethod 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 pre ntion of subterranean termites . Treatment Is In accordance with rules
and laws established by the Florida Department of Agriculture and Consu er Servic . (Pe e Florida Building Code.)
If this notice is for the final exterior treatmen~ initial and date this line -tt-'--rr-'7't--'-'"-/....£.-... 0
WATER HEATER ______________ _
1~ l· cf<J
Date
Date
'licalor: (Evict A Bug ite and Pest Control, Inc.) . ;, l ,(),-~ 1/
Customer (Property OWner'or Agent)
I www .evictabugpestcontrol .com
Plannlng & oevelopment Services
Building & eode Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462·2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT#: 1qaLJ,01 t5Y
BUILDER/CONTRACTOR: --=--~~iL<ll-j-4-~-L.~~~--~~~~
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMIT & PEST CONTROL INC .
PEST CONTROL LICENSE #:.::Ja:.:..:..11s:.:..:n~s ______________ _
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: ___ _
Percentage of solution: _.o_so/c_, __ _
Date of Treatment: o~ ·::¾ 2--d
__ Footing
__ 1st Treatment
__ Re-Treat
__ Driveway
__ 1st Treatment
__ Re-Treat
__ Other ________ _
__ l st Treatment
__ Re-Treat
Chemicals used: _oo_M_1N_1o_N_2L _____ _
Total gallons used: -J.l..,,O,<._O _____ _
)
Time of Treatment: ....,/L....).~,·s=-1-1-----
__ Slab
__ l st Treatment
__ Re-Treat
__ Pools
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