HomeMy WebLinkAbouttermite certPlanning & 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 #: � VO`-'�\-\SJOB ADDRESS: �o'(� � Il��✓�ry
BUILDER/CONTRACTOR: � ---22 �:, Q i�b -e Z' o Po /f; e c
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: S
Percentage of solution: .05%
Date of Treatment: // - 1-3 ✓ `�
Footing
1't Treatment
reat
riveway
1st Treatment
Re -Treat
p
Is' Treat nt
Re -Treat
Note: There must be a completed form for each
site to be picked up by the inspector at time of e
fee charged.
Chemicals used: DOMINION 2L
Total gallons used: '�/ d
Time of Treatment:
Slab
1't Treatment
Re -Treat
Pools
Srt Treatment
Re -Treat
eri eter for FirtaW
Date
rent or re -treatment and this form must be on the job
or the scheduled inspection will fail and a re -inspection
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
• Termite Inspection
Christ is l�rq
772-323-7921
• Termite Pretreatment
Je5V5
Ivid--A-Buy
Tall F0ee:1-911-385-0909
• Pest Control
Termite &faX:112-340-5990
• Rodent Service
Pest
• Fire Ant Lawn Service
Control,
Email: Evictabug@gmail.com
• Whltefly 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) CONTRACTORS NAME CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE COUNTY
NOTES ZIP CODE
TREATMENT TYPEIAREA
❑ FLOATING
❑ MONOLITHIC ❑ PATIO
❑ GARAGE
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ 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
❑ IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .1% ❑.12% 0.25% ❑.05% ❑ 23% ❑ 9% ❑ OTHER
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
❑ YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
❑ YES ❑ NO DETAILS
GALLONS APPLIED
"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.) ^ Q�
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑
Payment Terms: Payment due at time of service.
Date
Applicator: (EvictA Bug Termite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
www.evictabugpestoontrol.com