HomeMy WebLinkAboutTermite Treatment (2) RECEIVED
Planning;&Development Services OCT 0 4 2021
Building &Code Regulation Division st uuclta county
p 2300 Virginia Ave Permiliing
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 0 8 ° 01 U JOB ADDRESS: 331(_00dar wo
BUILDER/CONTRACTOR: 4clW 0111 (Wre¢e,
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERM IT&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.
feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used.
Date of Treatment: ��/y�?�z Time of Treatment:
Footing Slab
1st Treatment 1st Treatment
C, Re-Treat Re-Treat
Drivew ! Pools
1st Treatment 1st Treatment
Re Treat D Re-Treat
__J/CQther 1 a�` Perimeter for Final Inspection
1st Treatment
Re-Treat
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.
FBC104.2.6 Certificate of Protective Treatment forprevention of termites. Aweatherresistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment Is completed,
pro viding 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 locatlon, area
treated, chemical used,percent concentration and number of gallons used, to establish a vendable record of
protective treatment. If the soil chemical barrier method for termite prevention Is used, final exterlor 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
•rermie Inspection e505 Christ is nor 772-323-7921
• Termite Pretreatment
• Pest Control Efid A-9ug a Toll free: 1-811365-9999
Rodent Service Termite & Fit 72-349-5999
• Fire Ant Lawn Service �� �" :� Co trot, Email: Evictabug@gmail.com
Inc.
• Whitefl y Treatment 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 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 7! d t/j ' l
ll 'TIME -�
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON_
STRUCTURE ADDRESS(LOT/BLOCK) CITY,STATE COUNTY
33 F-CLicic oy, wO [-60 P;er(t?, F!
NOTES ZIP CODE
TREATMENT TYPE/AREA
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE 016RIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT O PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT 0 TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS . r
❑BASELINE O'DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT O'I DACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
O.06% ❑.1% ❑-.12% ❑.25% ®"05% ❑23% ❑9% ❑OTHER GALLONS APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE qU
SQUARE FOOTAGE VERIFIED "
OYES ❑NO, tT MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
OYES ❑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.
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. -7
71
3
Date Applicator:(Evict A Bug Termite and Pest Control,Inc.)
Date Customer(Property Owner or Agent) ,,,,
'www.evictabugpestcontrol.com