HomeMy WebLinkAboutFinal TreatmentPERMIT #:
BUILDER/C
PEST CONT
PEST CONT
L LICENSE #: JB175775
Planning & Development Services
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
'16 Z- 0 1/113
JOB ADDRESS:56Z 5'1We( �uii\ of, ��� �ierCe,l'�
broza &,'(des
L CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
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: _ (3I f � Chemicals used: 100 2�
Percentage of solution: Total gallons used. 350
Date of eatment: _ Lo 1�1&1 Time of Treatment:
�•
Footln
st Zr,,.
b
1 Treatment
Re -Treat
Driveway
istl Treatment
Reel Treat
Other_
1st
Treatment
Treat
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for
inal Inspection
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 fail and a re -inspection
fee charged.
FBC 104.2.6 Certlfcate of Protective Treatment For prevention of termites. A weather resistant jobs/te posting board
shall i provided 6 receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy ror the person the permit is ient
ssued to and another co for the buildin
tre777
ateid,C shall pr v/de the product used, /dent/ty of the applicator, t/me and date of the treatment, permlt ssite /ocat'on, 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 term/te prevent/on /s used, final exterior treatment shall
be completed pri- to final bullding approval.
St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical pa
panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
• Termite Inspec
- Termite Pretre,
• Pest Control
- Rodent Service
- Fire Ant Lawn 1.
- Whitefly Treatm
- Licensed & Insu
(as required by
PEST PREVENTION I
DATE OF SERVICE
DEVELOPMENT NAME
READDRESS
Z
NOTES
19
[AW-A-Bug\
Termite &
Pest
Control,
Inc. /
772-323-7921
Toll frer 1077 4105 8000
fax: 717 040 5090
Email: Evictabug@gmail.com
,d Lic. JS175775 1 4293 SW High Meadow Ave.
Notice of Preventative Treatment for Termites Palm City, FL 34990
orida Building Code (FBC) 104.2.6, 105.10 & R318.1 and Broward County Chapter FBC 105.2.2)
FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
TIME
CONTRACTOR'S NAME
TREATMENT TYPEIAREA
❑ FLOATING
❑ MONOL
THIC ❑ PATIO
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ TAMP & TREAT
❑ TREAT
ONLY ❑ FINAL
PRODUCTS
❑ BASELINE
❑ DOMINION 2LACTIVE INGREDIENT
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑.06% ❑.1%
SQUARE FOOTAGE_
❑ .12% ❑ .25%
SQUARE FOOTAGE VERIFIED
El YES ❑ NO
JOB READY CONDITIONS MET
❑ YES ❑ NO
CONTACT PERSON
CITY, STATE
❑ GARAGE ❑ DRIVEWAY
❑ RETREAT ❑ BORA CARE TREATMENT
Cl POOL DECK ❑ OTHER
COUNTY
ZIP CODE
❑ STEM WALUFOOTERS ❑ ADDITION
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
Lt IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .05% ❑ 23% ❑ 9% ❑ OTHER
LINEAR FOOTAGE
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
GALLONS APPLIED
"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 shal be completed prior to final building approval.
Certificate of Compliance: Th building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules
and laws established by the F orida 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 a, \ 0)
FINAL STICKER
❑ ELECTRICAL PANEL ❑
Payment Terms: Payment due at t
i0151 fP
Date
Date
TER HEATER
of service.
Applicator: (Evict A Bug Termite and Pest Control, Inc.)
�Uamunici knupul ty vwner w Hyern)
www.evictabugpestcontrol.com