HomeMy WebLinkAboutTermite Treatment (2) RECENED
Planning &Development Services
Building &Code Regulation Division JUL 0 12021
2300 Virginia Ave St,Lucie Co11Fi
° Fort Pierce, FL 34982 Permitting
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: z cd -s -CMG? Z JOB ADDRESS: U vl.r .
BUILDER/CONTRACTOR:
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: ;1 -/3 Time of Treatment:
Footing - -_ -__ —Slab--
1st Treatment 15t Treatment
Re-Treat Re-Treat
riveway Pools
Cam,st Treatment 11t Treatment
R
�9-trer—(,��e�t Re-Treat
.��
eri eter for Final Ins n
1st Treatrr} nt f A
Re-Treat
P C J eleall 3:38:44-04W JR
S' nature of Ext for Date
Note: There must be a completed form for each req it d treatment o r -treatment and this form must be on the job
site to be picked up by the inspector at time of each ' pect' or the scheduled inspection will fail and a re-inspection
fee charged.
FBC 104.2.6 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 pein7it 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 ofga/lons 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 i
,I
• Termite Inspection JeS�s Christ is �orq 772-323-7921
• Termite Pretreatment Euict-A-Bug Tall free. 1-911-385 9990
• Pest Control Termite & fax: 112-349-5989
• Rodent Service Pest
• Fire Ant Lawn Service - Control, Email: Evictabug@gmaii.com
• Whitefly Treatment Inc. 4293 SW High Meadows A_ve.
• 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 IZ FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE /J TIME
DE OP g NAME(PROJECT) C MTRATOR'S N - CONTACT PERSON
STRUCT RE ADDRESS L BLOCK) , CITY,STATE COUNTY
esdie- \)
NOTES - j A G'3 - U6<') - ZIP�OD� �
TREATMENT TYPE/AREA
❑FLOATING MONOLITHIC ❑PATIO ❑GARAGE El DRIVEWAY El STEM WALL/FOOTERS El ADDITION
❑CUTOUTS ❑ OTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS ❑SIDEWALKS
❑TAMP&TREAT AT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE 9 DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT — DACLAPRID ElBIFENTHRIN ❑DISODIUM"OCTABORATE TETRAHYDRATE
CONCENTRATION '" 11
❑.06% ❑.1% ❑.12% ❑..255% A% ❑23% ❑9% - ❑OTHER GALLONS APPLIED
SQUARE FOOTAGE ' � f) LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
ES ❑NO MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
66VES ❑NO DETAILS
"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.)
If this notice is for the final exterior treatment,initial and date this line
FINAL STICKER `
❑ELECTRICAL PANEL ❑WATER HEATER OTHER
Payment Terms: Payment due at time of service.
n�Wwwmmuo,
- / 3 0-0
Date Ap licator:(EA Bu and Pest Con nc.)
Date Cust er(Pro Owner or Agent) ""'f,,,11��1A, ,a"``6�
www.evictabugpestcontrol.com
-- 7921
323
• Termite-1 nspection JeS�,s Christ is 772 lorq
• Termite Pretreatment EVICT-AIV TO free: 1-877-315 8089
• Pest Control termite FeX: 11Y-340-5990
• Rodent Service �� Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• 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 f J I �> t- TIME
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME / ( CONTACT PERSON
STRUCTURE ADDRESS(LOT/BLOCK) I I `11 ( / CITY,STATE ` J� COUNTY
NOTES i I 'ZIP CODE _
TREATMENT TYPEIAREA
❑FLOATING ❑MONOLITHIC U PATIO ❑GARAGE j O'DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT P TREAT ONLY ❑FINAL ❑POOL DECK �,P OTHER
PRODUCTS
❑BASELINE f 0 DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT ❑VIMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% 0:05% ❑23% ❑9% ❑OTHER GALLONS APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
i
�P YES ❑NO ❑MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
,•OiYES ❑NO DETAILS
J
"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.)
If this notice is for the final exterior treatment,initial and date this line
FINAL STICKER
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER
Payment Terms: Payment due at time of service. i r
.r
r.
1F1� Yty "
_
r� _-__ ---- ♦� �'y�;'%
Date t Applicator.(Evict A Bug Termite and Pest Control,Inc.)
/ ff � ems'
Date Customer(Property Owner orAdent)
j j www.evictabugpestcontrol.com