HomeMy WebLinkAboutCertifcate of Termite Treatment 2020 12 17 - KleinPlanning & Development Services
- 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 #: �O 10 - . `) JOB ADDRESS: r)")a fJ1� N)��i�t�� C--g
BUILDER/CONTRACTOR: '4'
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.
Square feet if area treated:
Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used:
Date of Treatment: /�- / ^) .
Footing
1st Treatment
Re -Treat
Drivewa
1st Treatment
Re -Treat
Other f P c f
1st Treatment
Re -Treat
Time of Treatment:
'-1" Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
erimeter forPWInspection
gnature of ExKrminator Date
Note: There must be a completed form for each requiredd treatmenr 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 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 is issued to and another copy for the building permit Ales 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 Jesus Christ is �orq 772-323-7921
• Termite Pretreatment EVICT A -Bug TUII free:1-811-365-9990
• Pest Control Termite & ME 772-340-5990
• Rodent Service Pest Email: Evictabug@gmail.com
• Fire Ant Lawn Service Control,
• 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 I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE TIME
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME /CONTACT PERSON
STRUCTURE ADDRESS (LOTIBLOCK) CITY, STATE COUNTY
NOTES Cor,
1
1 KtA I mtn I I Y MAKtA
❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLIFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT ❑ TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE ❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑.06% ❑.1%
SQUARE FOOTAGE_
❑ IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .12% ❑ .25% ft7 .05% ❑ 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE VERIFIED
,l7 YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
LINEAR FOOTAGE
GALLONS APPLIED
JOB READY CONDITIONS MET
0 YES ❑ NO DETAILS
"Certificate of Compliance"
As per l04.2.6, 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 J1
G
FINAL STICKER
❑ ELECTRICAL PANEL Ell WATER HEATER ❑OTHER �
Payment Terms: Payment due at time of service.
-
Date /Applicator: (Evict A Bug Termite and Pest Control, Inc.) ti
t Dater ~ Customer (Property Owner or Agent)"
www.evictabugpestcontrol.com