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HomeMy WebLinkAbouttermite treatment_ Planning & 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 #:��10 (l;s_T� JOB ADDRESS: 4ol �_G ' �d
BUILDERJCONTRACTOR: 'ti>
PEST CONTROL CONTRACTOR: The Bug Assassin's LLC
PEST CONTROL LICENSE #: JB274586
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: Lys Chemicals used: b
,'I — , I
0 ri,L
Percentage of solution: d 1
Date of Treatment:
Footing
Is'Treatment
Re -Treat
Driveway
�{ I" Treatment
Re -Treat
Other
I" Treatment
Re -Treat
Total gallons used:
Time ofTreatment:
Slab
1_' Treatment
Re -Treat
Pools
V Treatment
Re -Treat
Perimeter for Final Inspection
Signatur `of Eacterminator Date
Note: There must be a completed form for each requifEd &eStment ar re -treatment and this form must be on the job
site to be picked up by the inspector at time of each irrspecbon or the scheduled inspection will fail and a re -inspection
fee charged
FBC144.2.6 Certificate of ProtenYw Treatnneent fbrpremnn�n of termite. A weather resistant jcbsite posting board
shall be provided to receive duplicate Treatment motes as each requfred protectrye treatment is completed,
providing a copy for the person the permit is issued to and another crapy for the building permit Tiles. The Treatment
Cefifacate shall provide the prraauct used identity of the appwlxator, Larne and date of tfie treatmvnt, site locatto area
tmated, cherncal used, percent eoneentratit n and number of gallons used, W establish a verifiable record of
protective treatment. If the soil d'Aernical taamier metfaod for termite prevention is used, final exterior treatment shall
be completed pnor to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent Stinker to be plan on
the electrical panel box cover, listing all the treatments and dates of applications.
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• Termite Inspection
Termite Pretreatment WHO O 772-307'-3442
Pest Control ,,�c_ .�
A � Email thebugassasslnsllc@gmail cam
• Rodent Service
' Fare Ant Lawn Service 1913 SW Castlnet bane
• Whltefly Treatment P©If St Lucie. FL 34953
*Licensed $ Insured Lip J5 F4536
Notice of Preventative Treatment for Termites
jas required by Florida Building Code (FBC) 104 2.6 and Broward County Chapter FBC 105 2 2)
FIST PREVENTION i FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL i VsMITEFLY TREATMENT
13ATE OF SERVICE TIi+E
GE fE_OPWN' NANE !PROJECT) CONTRgCTOR'S NAME I CONTACT PERSON
STF',J7URERDDRESSILOTTLOCK) STA,TE COUNTY
NOES S i-1000E
TREATMENT TYPE/AREA
J FLOATING
J. IAONOUTHIC L7 PATIO
J GARAGE U. DRIVEWAY J STEM WALL+FOOTERS J ADDITION
rJ CUTOUTS
J FOOTER J FRONT ENTRY
CI RETREAT J BORA CARE TREATW_NT J PLUMBING CUT OUTS J SIDEWALKS
J TAMP & TREAT
Q TREAT ONLY J FINAL
❑ POOL DECK J OTHER
PRODEJCTS
J 13ASELINE
J='."41ON 2L ACTIVE INGREDIENT
J TERMIDOR SC J BORACARE J PREMISE J TAL STAR
-1 -"HER
t•i, t oVc 1hi{sl°�c�ie:l�'+
CC�f9�RATtt3#1
J 06% 'tit ry% _J 12% -1 2_
SgJAREF OQ 7AGE --
SCIVAP FOOTAGE VERIFIED
YES J NO
JOB ONfTIQI`la MET
1.4 YES J NO
OS% I] 23% ❑ 9% L7 OTHER GALLONS APPLIED
LINEAR FOOTAGE
J MEASURED OR VERIFIED PER PLANS
OFTAiLS
Asper 104.2 6 FBC -If soil chemical barrier method for termite prevention is used, Final exterior treatment shall be completed prior to fin at building approval
Ger1ifiCAtc9(Come1iante: 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 Agricuiture and Consumer Services (Per the Florida Building Code I
If this notice is for the final exterior treatment initial and date this line
F1 AL &KER
J ELECTRICAL PANEL J YJATER HEATER v OTHER
Payr�gnt.T�rrn a Paymenl due at lime of seNice
Date Applicator The Bug Assassins, LLC
Data — T Cuslomer (Property Owner w Agent) — - -