HomeMy WebLinkAboutmi Tierra Termite spray-'S-P.i!Ufil@Jl ~,~ COUNTY .
FLORIDA
I
Planning & Development Sesvices
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#: 2103~ 05"&4 cr,Jr~AD(JDa~~~t &loo \\M ~\\lt ~t~tY ~1\ol{\ ~t~}tJ _,~J 1F1,'(
BUILDER/CONTRACTOR: -..::._lA __;~-----:........::;__'1_v _ 1::,-r_'-__________ _
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE & PEST CONTROL INC .
PEST CONTROL LICENSE #: Je11s11s ----------------------
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. L,her;..r ,::::-0 if\-, · · O Z'
-5qtlMe feet if area treated: __ v_-,--Chemicals used: t,U~lv\t /I\ Lt
Percentage of solution: • O'S% Total gallons used: JG
Date of Treatment: i / ZG/ ZoZ{ Time ofTreatment:--2-. 1_5 __ _
__ Footing
__ l st Treatment
__ Re-Treat
__ Driveway
__ l st Treatment
, / -Je·T~at . ....U...ot~~ Y\\l,.W\\)~ ( \le\ ~t;J.\')
__ l st Treatment
__ Re-Treat
I I __ Slab
__ l st Treatment
__ Re-Treat
__ Pools
__ l st Treatment
__ Re-Treat
~e~Inspecti2/[{p/l ol/
Signature of Exterminator Date
Note: There must be a completed form for each required treatment 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 fall and a re-Inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatm'ent for prevention of termites. A weather resistant Jobsite posting board
shall be provided to receive duplicate Treatmknt Certificates as each required protective treatment Is completed,
providing a copy for the person the permit is !Jssued to and another ropy for the building permit files. The Treatment
Certificate shall provide the product used, tdJnttty of the applicator, time and date of the treatment, site location, area
treated, chem/ca/ used, percent concentration and number of gallons used, to estab//sh 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 I
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
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
• Licensed & Insured
772-323-7921
Tall lrll: l·Bll-3B6·BBBI
lax: 112-341·6111
Email: Evictabug@gmail.com
4293 SW High Meadow Ave.
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 1> 11 b11011 TIME t 15
DEVELOPMENT NAME (PROJECT) ~--'>
/ \ CITY, STATE (,, ( l\Y ~ rle.,r
ZIPCODE ]L /q5/
TREATMENT ME/AREA
FLOATING MONOLITHIC PATIO GARAGE DRIVEWAY STEM WALL/FOOTERS ADDITION
CUTOUTS FOOTER FRONT ENTRY RETREAT BORA CARE TREATMENT tlH'C1JMBING CUT OUTS SIDEWALKS
~TONLY FINAL POOL DECK OTHER, _______________ _
eBQmlill
BASELINE ~INION 2LACTIVE INGREDIENT TERMIDOR SC PREMISE
______ _
ACTIVE INGREDIENT ___________ _ ~CLAPRID BIFENTHRIN DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
.06% .1% .12% .25% OTHER_____ GALLONSAPPLIED __ =:_3_0::::_ __
LINEARFOOTAGE ____ 5_0 ________ _ SQUARE FOOTAGE ______________ _ :re FOOTAGE YERIRED
ES ~SURED OR VERIFIED PER PLANS
:!(EADY CONDITIONS MET
ES DETAILS _______________________ _
"Certificate of Compliance"
As per 104.2.6, 105.10 & R318 .1 FBC • If soil chemical barrier method for termite prevention Is used .
Flrial exterior treatment shall be completed prior to final building approval.
Certificate of CompHance: 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 _______ _
EJNAL STICKER
ELECTRICAL PANEL WATER HEATER
eayment Jenni: Payment due at time of service .
<o / ?&!lul l
OTHER _______________ _
*;;i!Z_
Dale
Applicator. (Evict A Bug Termite and Pest Control, Inc .)
ef~ Ovi 5,-/e
Customer (Property Owner or Agent)
.,
,,,,,,,
www .evictabugpestcontrol .com