HomeMy WebLinkAbouttermite Cert Planning & Development Services
S 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 #: JO ADDRESS: ?2a J I✓�S f cee
BUILDER/CONTRACTOR: ADDRESS:
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMIT&PEST CONTROL INC.
PEST CONTROL LICENSE #: JB17e775
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
Square feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: //�S
Date of Treatment: Time of Treatment: l(/:5 d
Footing Slab
1s`Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1s`Treatment reatment
Re-Treat Re-Treat
Other rimeter for Final Inspection
1st Treatment
Re-Treat
nature of minator Date
Note.' There must be a completed form for each requir treatme r re treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection o he scheduled mspection will fail and a re-inspection
fee charged.
FBC104.2.6 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/s issued to and another copy for the building permit files. fie 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 venfiable record of
protective treatment. Tf the soil chemical barner method for termite prevention is used, final extenor 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 e5LJ5 Christ is,_ Q 772-323-7921
• Termite Pretreatment �® EVICt-A-Bug a loll fPee: 1-811-385-9999
• Pest Control Termite &
• Rodent Service ® Pest ME 772-349-5998
• Fire Ant Lawn Service , Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic.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 FIRE ANT SERVICE I1 TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE / G TIME !fI'- I
-
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS(LOT/BLOCK) ^ /y _:3—nmo5 CITY,STATE ��n j� � COUNTY
NOTES ZIP CODE
I CI 14` C +�2 '3�1Ci S�
TREATMENT TYPEIAREA
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS ❑SIDEWALKS
❑TAMP&TREAT G❑TREAT ONLY 'FINAL ❑POOL DECK []OTHER
PRODUCTS
❑BASELINE E6DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
'ACTIVE INGREDIENT �❑IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
r
❑.06% ❑.1% ❑.12% ❑'.25% O0-05% ❑23% ❑9% ❑OTHER GALLONSAPPLIED
SQUARE FOOTAGE P LINEAR FOOTAGE //
SQUARE FOOTAGE VERIFIED
/ A
YES ❑NO �Q MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
Cr YES ❑NO DETAILS
"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 ConsuQererr Services.(Per the Florida Building Code.)
If this notice is for the final exterior treatment,initial and date this line /vW /"q (:
FINAL STICKER
�,❑ELECTRICAL PANEL ❑WATER HEATER El OTHER
UPavment Terms: Payment due at time of service.
' �ayyviuw4unna,
Date App in ior:(Evict A Bug'ermite and Pest Control,Inc.)
i or '''o�9t1itE9��
Date Customer(Property Ov✓eror e t _
www.evictabugpestcontrol.com