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HomeMy WebLinkAboutTermite Spray , • Termite Inspection b Sus Christ iS for 772-323-7921 • Termite Pretreatment EVICT-A-Bug a Tall[089: 1-811-315-9999 - Pest Control 18X:112-349-5999 � Termite & - Rodent Service Pest • Fire Ant Lawn Service ,- Control, Email: Evictabug@gmail.com • Whitefly Treatment 11 Inc. 4293 SW High Meadow Ave. - Licensed & Insured Lic.J6175775 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 TIME 1:1� Y DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON STRUCTURE ADDRESS(LOT/BLOCK) CITY,STATE COUNTY NOTES `, ` , �,- ZIP CODE TREATMENT TYPEIAREA •,,j ❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION ❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS ❑SIDEWALKS ❑TAMP&TREAT �TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER SRP) t�f_7( ) PRODUCTS ❑BASELINE DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR ❑OTHER l� ACTIVE INGREDIENT IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION ❑.06% ❑.1% ❑.12% ❑.25% ;4.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED co SQUARE SQUARE FOOTAGE LOC�C LINEAR FOOTAGE RECEIVED SQUARE FOOTAGE VERIFIED 'U YES ❑NO d_,MEG�SURED OR VERIFIED PER PLANS S 12021 JOB READY CONDITIONS MET ;,Kuala Q©4MW \ Permitting Q-YES. ❑NO DETAILS Vk-)C.. QTA �-w-+(W (hC - 1 "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. 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 E10THER t Payment Terms: Payment due at time of service. JJ/ �pSlUUutnp�p i 4A61XIL .! Date Applicator:(Evict A Bug Termite and Pest Co,101,In Date 9"'•ft69500 °� Customer(Property Owner or Agent) www.evictabugpestcontrol.com Planning &Development Services C Building &Code Regulation Division p 2300 Virginia Ave e Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: JOB ADDRESS: lD-b (0C2e-MQkQRr C' ( erre FL BUILDER/CONTRACTOR: 906C Cr1r\S4YUcV(o- PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMIT&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: L Chemicals used: DOMINION 2L Percentage of solution: .05% Total gallons used: U1 fo Date of Treatment: �' 1A'IN Time of Vb Footing S 1st Treatment tment Re-Treat e- reat RECEIVED Driveway Pools SEP 1st Treatment 1st Treatment 2 1 2021 Re-Treat Re-Treat St Lucie coin Other Perimeter for Final Inspection "PeTmil" 1st Treatment Re-Treat Signature of Ext rm ator 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 fail and a re-inspection fee charged. FBC104.2.6 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 permit 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 of gallons 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