HomeMy WebLinkAbouttermitePlanning & 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 #:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA
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: d
Percentage of solution:.05%
Date of Treatment:
oting
1st Treatment
Re -Treat
riveway
1st Treatment
,-Re__IT t I
Other J Z t d
Ist Treatment
Re -Treat
Note: There must be a completed form for each reg
site to be picked up by the inspector at time of each
fee charged.
Chemicals used: DOMINION zL
Total gallons used: L�
Time of Treatment: 3 367
L S
'- Y reatment
Re -Treat
Pools
1" Treatment
�Reforea�t �
P imeter for EM`eYfn
C_
inator Date
r re -treatment and this form must be on the job
scheduled inspection will fail and a re -inspection
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 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 Je5LI5 Christ is Lorq 772-323-7921
• Termite Pretreatment E&I-A-Bug Tall free:1-811-365-9990
• Pest Control Termite d faX:112-340-5990
• 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 ZIP CODE
TREATMENT TYPEIAREA
❑ FLOATING
❑ MONOLITHIC ❑ PATIO
❑ GARAGE
❑ DRIVEWAY ❑ STEM WALL/FOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER ❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT
❑ TREAT ONLY ❑ FINAL
❑ POOL DECK
❑ OTHER
PRODUCTS
❑ BASELINE
Cl DOMINION 2LACTIVE INGREDIENT ❑
TERMIDOR SC ❑
BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
,❑ IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .1% 0.12% ❑ .25% ❑ .05% ❑ 23% ❑ 9% ❑ OTHER GALLONSAPPLIED
SQUARE FOOTAGE - - LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
❑.YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
❑ 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 Consumer Services. (Per the Florida Building Code.) ^ !�
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.evictabugpestcontrol.com