HomeMy WebLinkAboutTermite Treatment I
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Planning &Development Services RECEIVED
_ J� cG Building &Code Regulation Division
2300 Virginia Ave AUG 2 5 2021
® Fort Pierce, FL 34982 St.Luai®.CtswriEy
772-462-2172 Fax 772-462-6443, Petefliftft
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:,100 -0 1 JOB ADDRESS:
BUILDER/CONTRACTOR: bdAX,41 .11411 C;-7G1'
PEST CONTROL CONTRACTOR: EVICT- BUG TERMIT&PEST CONTROL INC.
PEST CONTROLI'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.
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Square feet if area treated: 1 Chemicals used: DOMINION 2L
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Percentage of solution: .05% Total gallons used:)
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Date of Treatment: Time of Treatment:
_ D_< Footing Slab
moist Treatment st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment
Re-Treat 1
Signature of'Exferininator . ate
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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 fail and a re-inspection
fee charged.
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FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobs/te posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro vid/ng a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall pro vide the product used Identity of the applicator, time and date of the treatment site location area
P p tY PP i
treated, chemical used,percent concentration and number of gallons used, to establish a venfiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, filial exterior treatment shall
be completed prior to final bui/ding 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
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• Termite Inspection es.5 Christ is for 772-323-7921
• Termite Pretreatment �® EViet-A-Bug a r911IFree: 1-811385-9999
• Pest Control Termite & ME 772-349-5908
• Rodent Service >
� �: Pest i
• Fire Ant Lawn Service ,:- Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadow 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 Brow'ard 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 yg f-t i I TIME =
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DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME ., CONTACT PERSON
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STRUCTURE ADDRESS(LOT/BLOCK) CITY,STATE COUNTY
1 L.
NOTES r' _+. ZIP CODE
TREATMENT TYPEIAREA,
❑FLOATING El MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
ILI TAMP&TREAT ❑TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
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PRODUCTS
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❑BASELINE O.DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTARI
❑OTHER
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ACTIVE INGREDIENT .LL;IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM ICTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% 0-.05% ❑23% ❑9% ❑OTHER GALLONSAPPLIEID
1)4
SQUARE FOOTAGE <.�`• LINEAR FOOTAGE
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SQUARE FOOTAGE VERIFIED
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❑YES ❑NO Al MEASURED OR VERIFIED PER PLANS
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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. j
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 ' g
Payment Terms: Payment due at time of service.
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Date J Applicator:(Evict A Bug Termite,and Pest Control,Inc.)
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Date Customer(Property Owner or Agent) "��115160
www.evictabugpestcontrol.com