HomeMy WebLinkAboutTermite treatment, final 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 JOP ADDRESS:
BUILDER/CONTRACTOR: 1
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC. '
{
PEST CONTROL LICENSE #: JB17577s
We, the undersigned, he certify that we have pretreated the above described constructior
for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: % "
Chemicals used:..
Percentage of solution: g Total gallons used:
Date of Treatment: r Time �
of Treatment: ff
Footing Slab
ist Treatment 1 Treatment'
Re -Treat iRe-Treat
Driveway Pools
1" Treatment ist
Re -Treat
_Other P rimeter for Fi nspection
1st Treatment
`Re -Treat :' y
S nature erminator Date
Note: There must be a completed form for each require treat ent 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
fee charged,
re:inspection
FBC104.2.6 Gertiflcate ofPratective 7reatmentforpreventlon oftermftes A weatherresJstantjobsite
517a11 be provided to receive duplicate Treatment certificates as each requiredprotective
ostingboard
treatment is completed,
providing a for the person the permit is, Issued to and another copy for the building permit files Th
Treatment
Certificate shall provide the product used, Identity of the applicator, time and date of the treatments site
locatlon, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable mcat
1 of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior L16
be completed prior to final bullding approval,
atMentshall
St Lucie County requires for the final inspection for CO, a Permanent Sticker tobep laced
on
the electrical panel box cover, listing all the treatments and dates of applications..
Revised 7/24/2014
* Termite Inspection
• Termite Pretreatment
Pest Control
- Rodent Service
Fire Ant Lawn Service'
- Nhitefly Treatment
- Licensed & Insured
(as required by Florida Buiidir
PEST PREVENTIONI FIRE ANT`SEF
DATE OF SERVICE
DEVELOPMENT NAME (PROJECT)
STRUCTURE ADDRESS.(LOT/BLOCK)
N9TEs
t
e$u5 Christ IS
Ter
PBS ite &
Control,
Email; Evict
bug@gmail.com
Inc.
1��77
4293 SW Hi
h Meadows Ave.
Palm C
y, FL 34990
of Preventative Treatment for Tyr
'FBIC)104.2 6,105.10 & R318.1 and Brii
d County Chapf r FIB
05.2.2)>
TERMITE SERVICE I RODENT' CLUSi N REMOVAL I
4VHITEFLY TREATMENT
%CTOR'S NAME
G NTACT ON
CITY, STATE�
F�.
COUNTY
u rlUai iNv ❑ MONOLITHIC G] PATIO ❑ GARAGE Cl DRIVEWAY ❑ STEM WALUFOOTEI�S ADDITION
C3 CUTOUTS ❑ EOOTER ❑ FRONTENTRY' D RETREAT ID BORA CARE TREATMENT' ® PLUMBING CUTOUT 3 Q SIDEWALKS
TAMP &TREAT PVREAT ONLY INAL ❑ POOL DECK ❑ OTHER
PRODUCTS \\
O BASELINE MINION 2LACTIVE'INGREDIENT I O TE?MIDOR SC Ct BORACARE C! PREMISE ❑ TALSTAR
0 OTHER
ACTIVE INGREDIENT tIDACLAPRID GI BIFENTHRIN Q DISODIUM OCTABORATE TE RAHYDRATE
CONCENTRA IO l
i
0.06% Q .1% ❑ .12%u Cl .25% 5% Ci'23% ❑ 9% CI OTHER GALLONSAPPLIEDZAS
SQUARE FOOTAGE LINEAR FOOTAGE
BQUARE FOOTAGE VERIFIED
O NO RED'bR VERIFIED PER PLANS
JOB READY CONDITIONS MET
YES ❑ NO DETAILS
s�C eritificafe 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 fitral building approval.
Certificate of Compliance: The building has, received a complete'treatment for the prevention of subterranean termites. Treatment is in ccordance 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 yf 1LX
;rELECTRICAL
LTICKER
PANEL❑WATER HEATER THER'
Payment Terms; Payment due at time of service.
y) � kJ�Rtuauili
D to T ite and Pest Control, Inc.) Appl tor. (vict
A k
Date Customer (F perty wne orAgent), r,'
wwev ctabugpestcontrol.com.