HomeMy WebLinkAboutTermite Treatment _ _ Planning &Development Services
r r- `m~ 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
P RMIT #: )-703'oS6 JOB ADDRESS:
E Y
BUILDER/CONTRACTOR: ✓L R-�vy�
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&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: / 7 Time of Treatment:
- Footing ----- .Slab -- - - —-- - - - -- --
11t Treatment moist Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter f inal Inspection
1st Treatment
Re-Treat J4; re- 7 7
Signature of Exterminator 6atd
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 pro vide 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
Planning &Development Services
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 #: 7 030-74-7 JOB ADDRESS: �'
BUILDER/CONTRACTOR: C,on C c �)q dd
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:J13175775
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.
6
Square feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used:
Date of Treatment: ul e Time of-Treatment: 1 -3
RECEIVED
Footing Slab
15t Treatment 15t Treatment MAR 21 2018
Re-Treat Re-Treat
Driveway Pools ST. Lucie county, Permitting
Is Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for F. al Inspection
1st Treatment
Re-Treat k/6112
Signature of a ator Date
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 Certlficates as each required protective treatment Is completed,
providing a copy for the person the permit Is issued to and another copy for the bullding permit tiles 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 exterlor treatment shall
be completed prior to final bullding 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 05U5 Christ is to 0772-323_7921
r
• Termite Pretreatment �e q
• Pest Control ® EUICf A-Bug Toll Free: 1-877-365-9990
Termite & Fax: 772-340-5990
• Rodent Service _ °' Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 2373 SW Woodridge St.
• Licensed & Insured �'� JB17575 Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code(FBC)104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTIONWIFIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE J r� TIME 1
DEVELOPMENT NAME(PROJECT) / CONTRACTOR'S NAME CONTACT PERSON
A/o
STRUCTURE ADDRESS(LOT/BLOCK)' 4 r CITY,STATE _ COUNTY /
/' �� i L? 1'..'�/�.I �"..M.��'.•-� Ia�•C�' / ��Cs�✓��' Il�n,�l.�' _ J i� L�^l✓L.(�1\�_
NOTES ZIP CODE
3—D s ) ; ^�n - ��Yl ct r tit �•I u v,.s` J�,= J
TREATMENT TYPEIAREA
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS ❑SIDEWALKS
❑TAMP&TREAT DIREAT ONLY 17 FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE O.,DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT P IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION / ✓
❑.06% ❑.12% ❑.25% O(05% ❑23% ❑9% ❑OTHER GALLONS APPLIED /C '
`Y SQUARE FOOTAGE LINEAR FOOTAGE 30 0
i
RECEIVED
SQUARE FOOTAGE VERIFIED y
`12 YES ❑NO --@VEASURED OR VERIFIED PER PLANS MAR 2 12018
/ JOB READY CONDITIONS MET ST. 6y, Permitting
YES ❑NO DETAILS
As per 104.2.6 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
FINAL STICKER
f ❑ELECTRICAL PANEL ❑WATER HEATER ! Q-OTHER /�
Payment Terms: Payment due at time of service.
4,
Date Applicator:(Evict A Bug Termite and Pest Control, ca�i
Date CustoJner(Property Owner or Agent)
www.evittabugpestcontrol.com