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HomeMy WebLinkAboutTermite Treatment Planning Development Services . 1 Building&Code Regulation VMsian p 3300 Virg6atia Ave MUM. o Fort Pierce, FL 34982 772-462-3172 Fax 773-463-6443 CERTIFICATE OF TERMITE TREATMENT COKE ION BURL TREATMENT 3 q-�46 PERMIT #: - JOB ADDRESS. 1 il/. J4 vrt,1 BUILDER/CONTRACTOR. -6AS. 44,1 ,� 1 �1t _ fi n. PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL I PEST CONTROL LICENSE #:JBI75775 We, the undersigned, hereby certify that we have pretreated the above described construction for j subterranean termites in accordance with the standards of the National Pest Control Association. j Square feet If area treated: 2 Y10 Chemicals used: Percentage of solution:-9w,, © Total gallons used: D Date of'Cr_eatment:_ /1-?, /�_ _�_ _Time of-Treatment: Footing Slab 151 Treatment 1st Treatment Re-Treat Re-Treat Driveway Pools 15t Treatment 11t Treatment Re-Treat On Other Perimeter for Fin Inspection 15t Treatment Re-Treat Signature of Exterminator Dat Note: There must be a completed form for each mqu/red treatment or re-[refitment and eNs firm must ve on Me job site to be picked up by the inspector at time of each Inspection or the scheduled inspection w111 fall and a re Inspection fee charged. FB=4.2.6 certificate of Protective Treatment for prevention of termites A weather resistant Jobsite posting board shall be provided to receive duplicate Treatment Certlfcates as each required protective treatment is completed, providing a copy for the person the permit is Issued to and another copy for the bullding permit Arles 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 ofgailons used, to establish a verltlable record of protective treatment. If the soli chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final bullding approval. St fi_ude County regtalres for the ff riall inspection for C®o a [Permanent Stick(Sr to be placed on the electrical panel boss cover, 01sting oil the treatments and dates of apPlieations. Revised 7/24/2014 • Termite Inspection Je5�5 Christ nor 772-323-7921 • Termite Pretreatment EVICt/l-Bug p Toll Free: 1 -877-365-9990 • Pest Controls Termite & • Rodent Service - Pest Fax: 772-340-5990 • Fire Ant Lawn Service Control, Email: Evictabug@gmail.com • Whitefly Treatment Inc. 2373 SW Woodridge St. • Licensed & Insured Lic.JB175775 Port St. Lucie, FL 34953 Notice of Preventative Treatment for Termites (as required by Florida Building Code(FBC)104.26 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 I-Z i -7 TIME l �. DEVELOPMENT NAME(PROJECT/) i Le CONTRACTOR'S NAME _ CO�N7TACT PERSON 1 n✓�r� �. L�.U D G—S r �1 f 1-4 1M 1 d1ific, (—,06 . / ' A STRUCTURE ADDRESS(LOT/BLOCK) CITY STATE COUNTY V, /NOTES, ZIP CODE bjv V TREATMENT TYPE/AREA ❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE AyDRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION ❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS P'l-,SIDEWALKS ❑TAMP&TREAT )Cl7 TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER PRODUCTS // ❑BASELINE `taJ�OMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR /✓ ❑OTHER ll _ ACTIVE INGREDIENT j IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION ❑.06% ❑.12% ❑.25% O.05% ❑23% . .C1.9%... .❑OTHER GALLONS APPLIED .SQUARE FOOTAGE LINEAR FOOTAGE SQUARE FOOTAGE VERIFIED �> YES ❑NO Q'MEASURED OR VERIFIED PER PLANS JOB READY CONDITIONS MET ,DIES ❑NO DETAILS As per 104.2.6 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. Date Applicator:(Evict A Bug Termite and Pest Control,Inc.) kl �•-� S/ r�: Date Customer(Property Owner or Agent) www.evictabugpestcontrol.com • Termite Inspection esLJ5 Christ IS nor 172-323-7921 d Termite Pretreatment • Pest Control � EUICt-A-Bug To)1s Free: 1-877-365-9990 • Rodent Service Termite & Fax: 772-340-5990 • Fire Ant Lawn ServicePest Control, Email: Evictabug@gmail.com • Whitefly Treatment Inc. 2373 SW Woodridge St. • Licensed & Insured Lic.JB175775 , Port St. Lucie, FL 34953 Notice of Preventative Treatment for Termites (as required by Florida Building Code(FBC)104.26 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 .) ' ( Z I TIME C' DEVELOPMENT NAME(PROJECT) (�P-S , CONTRACTOR'S NAME CONTACT PERSON ( �ce STRUCTURE ADDRESS(LOT/BLOCK) CITY,S-fATE COUNTY NOTES t , ZIP CODE 0 / �'.117 = TREATMENTTYPEIAREA 0/—+—o�� ❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION ❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS ❑TAMP&TREAT 'QdREAT ONLY .4'FINAL ❑POOL DECK ❑OTHER PRODUCTS ❑BASELINE J, DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE; ❑TALSTAR ❑OTHER ACTIVE INGREDIENT �10 MWDACLAPRID ❑BIFENTHRIN' ❑DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION ❑.06% ❑.12% ❑.25% ,�21.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED C! SQUARE FOOTAGE LINEAR FOOTAGE SQUARE FOOTAGE VERIFIED b_YES ❑NO P'�EASURED OR VERIFIED PER PLANS JOB READY CONDITIONS MET `ONES ❑NO DETAILS As per 104.2.6 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 kd LECTRICAL PANEL ❑WATER HEATER Cl OTHER Payment Terms: Payment due at time of service.7/� -Z' ? r Date Applicator:(Evict A Bug Termite and Pest Control,Inc.) y Date Customer(Property Owner or Agent) www.evictabugpestcontrol.com