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HomeMy WebLinkAboutTermite Treatment (2) 0 RECEIVED Planning &Development Services 17 0Building &Code Regulation Division OCT 0 4 2021 ® 2300 Virginia Ave St.Lucie County Fort Pierce FL 34982 ry i P ermitting 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #. JOB ADDRESS: : .�U 60q J BUILDER/CONTRACTOR: �V%4 4 NVYQ K, PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&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 est Control Association. Seloom feet if area treated: �" Chemicals used: Percentage of solution: • dJ l(� Total gallons used: O Date of Treatment: ZG I Time of Treatment: l 1. Cl V Footing Slab 1st Treatment 1st Treatment Re-Treat Re-Treat Drivew y Pools 1st Treatment 1st Treatment // Re-Treat (�� Re-Treat yO�th ` �� Perimeter for Final Inspection Zr1st 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. FBC 104.2.6 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 Termite Inspection e5u5 Christ is for 772-323-7921 Termite Pretreatment f via f-A-Buy a T011 free: 1-811-385-9989 • Pest Control Termite & FOX: 112-349-5999 • Rodent Service Pest • 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 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 'e- -r?—c TIME DEVELOPMENT NAME(PROJECT) CON,TRACTOR'S NAME T CONTACT PERSON STRUCTURE ADDRESS(LOT/BLOCK) / CITY,STATE S COUNTY �� � '7 f�J/U J�.rC'��JI�l l � �, 1 I `J�._,c_�C=-iV" r"7' �r^.�.i r•;s - NOTES-, ZIP CODE TREATMENT TYPEIAREA ❑FLOATING ❑MONOLITHIC ❑°PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION ❑CUTOUTS ❑FO,OTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS ❑TAMP&TREAT ©'TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER PRODUCTS ❑BASELINE O'DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR ❑OTHER J ACTIVE INGREDIENT 011MIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION ❑.06% ❑.1% ❑.12% ❑.25% 0 05% ❑23% ❑9% ❑OTHER GALLONS APPLIED 1.- Do SQUARE FOOTAGE LINEAR FOOTAGE I+✓ SQUARE FOOTAGE VERIFIED f� 6,Y"ES ❑NO b-MIEASURED OR VERIFIED PER PLANS 1 JOB,READY CONDITIONS MET 0 YES ❑NO DETAILS i°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 r� FINAL STICKER ` ❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER Payment Terms: Payment due at time of service. • r /�� � / 4N11W11q[urg4i Date Applicator:(Evict A Bug Termite and Pest Control,Inc.) , ` <-,7� ��I // -1) �()P \"-,)\AR, Date Customer(Property Owner or Agent) flak ,,,,,,,,,,�+u www.eviotabugpestcontrol.com