HomeMy WebLinkAboutFinal Termite Treatment• Termite Inspection ri st is 772-323• 7921
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• Licensed & Insured . Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6, 1o 5.1o & R31a.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 IJ/3/cJ-O TIME / '3 i)
DE
llD,
ST, ll. ~fru cfo r-:7
NO
7r m i-f-
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CITY.ST, COUNTY
A lrllt1 AJ
TREATMENT TYPE/AREA 5 ZIP CODE 5 1
FLOATING MONOLITHIC
CUTOUTS FOOTER
PATIO
FRONT ENTRY
J!{flNAL
GARAGE Cl DRIVEWAY STEM WALUFOOTERS ADDITION
TAMP & TREAT ;t(TREAT ONLY RETREAT Cl BORA CARE TREATMENT Cl PLUMBING CUT OUTS SIDEWALKS
PRODUCTS
POOL DECK : Cl OTHER __________________ _
}(DOMINION 2LACTIVE INGREDIENT TERMIDOR SC Cl BORACARE O PREMISE Cl TALSTAR
----------
ACTIVE INGREDIENT ________________ _
CONCENTRATION JI IMIDACLAPRID D BIFENTHRIN D DISODIUM OCTABORATE TETRAHYDRATE
.06% .1% .12% .25% lf .05% 23% 9% D OTHER______ GALLONS APPLIED @
SQUARE FOOTAGE___________________ LINEAR FOOTAGE __ 32""""-_._V"'-----------
SQUARE FOOTAGE VERIFIED
~YES
JOB READY CONDITIONS MET
~YES
\;l'.'MEASURED OR VERIFIED PER PLANS
"Certificate of Compliance"
As per 104.2.6, 105.1 0 & R318.1 FBC -If soil chemical barrier method for termite prevention is used.
Final exterior treatment shall be completed prior to final building approval.
DETAILS __ ======--::~====--=-------------
Certificate of Compliance: The building has received a complete treatment for th e prevention of subterranean termites. Treat . .
and laws established by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code ) ment is m accordance w·ith 1 • · _ -. rues
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 .
1.1-I g /;w;w .-.
Dat-:;=-7 /
;~
Applicator : (E \/i ct A t,ug ,.,,.,, .. -nd pest Control , Inc.) -f't le
Date
-------Customer (Property owner or A9ent1
,,,,,,,,,,,,
WWw.evictabugpestcontrol.com
Planning Development Se~i~~s ~!::::-Buildlng •~~~~1~1:,n ow,sion
~-F~~t Pierce, FL 34982
772-4&;½112 Fax 772-462-&443
CERTIFICATE bf TERMITE TREATMENT
0
CONSTRU<f ION SOIL TREATMENT
PERMIT#: JOO/~ ODIP5 JOB A DRESS: /~ /JeJfles g/;c/
BUILDER/CONTRACTOR: _ _.c.$du..· ":J4-J.d:.:.!:5..J..!.!..fr~w..::.--o~y1..!.--------
PEST CONTROL CONTRACTOR: ;:Ev~,o~~T-~A ~:_:::.::.:::.:..:!.!:..=::!~~~::..,_-------
PEST CONTROL LICENSE #:~Js~11~s1..:.::1s:....i.l _______________ _
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with th standards of the National Pest Control Association.
/_;,.,.ee--r .
Sqr 1a.re_ feet if area treated: Chemicals used: ..::.o..:..0M;_1;_N1;_0_N _2L ______ _
Percentage of solution: _.o_s'¾_. __ _
Date of Treatment: _....,l#:<...i/'-"g-c.· +~=-=---"-"---+ ,,
__ Footing
__ 1st Treatment
__ Re-Treat
__ Driveway
__ 1st Treatment
__ Re-Treat
__ Other ________ _
__ 1st Treatment
__ Re-Treat
Total gallons used: __ .L.../=--;2,0 ______ _
Time of Treatment: /; ?D _ ___,__ _______ _
__ -Slab
__ 1st Treatment
__ Re-Treat
_Pools
__ 1st Treatment
~· __ Re-Treat
~Perimeter for Final Insp
N_ote: Ther7 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 kach 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 b~ provided to receive duplicate Treatme~t certffie8tes as each required protective treatment is completed,
pro~dmg a copy for the person the permit Is 1s'sued to and another copy for the bulldlng permit files. The Treatment
Certificate shall provide the product used Identity of the applicator, time and date o~ the treatment, site location, area
treated, chemical used, percent concent/-ation Jnd number of gallons used, to establish a verifiable record of
'f:tect/ve treatment. If the sot/ chem/ca/ barrJbr method for termite prevention Is used, final exterior treatment shall
completed prior to final building approval. \ n fl CO
St Lucie County requires for the fin~I inspectioeator b a P;rmanent Sticker to be placed on
Lthe electrical panel box cover, listing ~II the tr men an dates of applications.
Revised 7/24/2014