HomeMy WebLinkAbouttermite 2106-0780hriSt is 72 323 7921 • Termite Inspection 7 • •
• Termite Pretreatment Tall free: 1-Bll-3BS-BBBB • Pest Control
• Rodent Service lax: 112-340-SBBB
• Fire Ant Lawn Service Email: Evictabug@gmail.com
-• Whitefly Treatment ---------4293 SW High Meadow Ave.
• Licensed & Insured uc. J8175775
• T Palm City FL 34990
• Notice of Preventat ive reatrnent for Termites '
(as required by Florida Building Code (FBC) 104·2 ·6 • 105"10 & and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFL y TREATMENT
DATEOFSERVICE / {_)-JS -ch\ TIME ;a-' 3?
!D'EVELOPMENT NAME (PROJECD
\ rPS r
ST¢JCTURE ADDRESS (LOT[Bb)OCK)
!JP w \-le r, e -
NOTES
)_:>
TREAt MENTTYPE/AREA
CONTACT PERSON
, f>vC
ZIP CODE
-']C l G ::S
..,.aa oATING ~ONOLITHIC PATIO GARAGE DRIVEWAY STEM WALUFOOTERS D ADDITION
CUTOUTS FOOTER FRONT ENTRY RETREAT
D POOL DECK
BORA CARE TREATMENT PLUMBING CUT OUTS D SIDEWALKS
TAMP & TREAT li:A"REAT ONLY FINAL ________________ _
PRODUCTS
a/..QQMINION 2LACTIVE INGREDIENT D TERMIDOR SC BORACARE D PREMISE TALSTAR
_______ _
ACTIVE INGREDIENT ~-----"'------~~~---~MIDACLAPRID BIFENTHRIN D DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
GALLONS APPLIED ...__}_,O,::__o ____ _ D .06% D .1% .12% D .25% ~05% 23% 9% D OTHER _____ _
SQUARE FOOTAGE 5 ,z_ _S LINEAR FOOTAGE _____ --:---------
SQUARE FOOTAGE VERIFIED
~ES ~ASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET rJrves· 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
D ELECTRICAL PANEL WATER HEATER C,
_________________ _
Payment Terms : Payment due at lime of service .
Date
Date Custome
www.evictabugpestcontrol.com
Planning & Development Services
Building & Code_ R~g_ulation Division
2300 v1rg1ma Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT#: cb Lo~-0 1))11 JOB AD
BUILDER/CONTRACTOR: _ ___!_VVl~e~l ~.i_.c..:~~~~-__::~--j-=j:::a...z.....;;_,;;_;;-.:::,,,.;;;..,,;::7.,....,,
PEST CONTROL CONTRACTOR: _.=:EV~IC~T-~A-B~U.:::::::.:.::::.:.~:::'..'....::~~.::.:.:::..----=..!----,c.....4,,<' .... ,"-'--"-
PEST CONTROL LICENSE #:_::::Js::.:.:11:.::::s1.:.::1s:__ ________ _;___ ______ _
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: qJ-~ Chemicals used: -=o..:.o:.:.:.M':.:.::N.:.::1o_N..::.2L ______ _
Percentage of solution: _.o_s'¼_0 __ _
Date of Treatment: ) 0 .,, l °L · 0-\
-~-
__ Footing~
i,., ,.. -~_1st st T TrrPe::1attmmPernt
__ Re-Treat
Driveway --__ 1st Treatment
__ Re-Treat
__ Other_,--______ _
__ 1st Treatment
__ Re-Treat
Total gallons used: ---f./--=O __ o_--:--:---1 J-: 35 Time of Treatment:
----~--ab
~t
__ Re-Treat
Pools
_1st Treatment
_Re-Treat
Perimeter for Final --.
gnature of Exterm· tor J
Note: There must be a completed form for each require ~atment 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 fall and a re-inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant Jobs/te posting board
shall be provided to receive duplicate Treatm~nt Certificates as each required protective treatment Is completed,
providing a copy for the person the permit Is issued to and an_other 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 numbe~o; gallons usec1, to establish a vertfiable record of '
protective treatmen~ If the soil chem/cal barrier method termite Prevention Is used, final exterior treatment shall
be completed prior to final but/ding approval. "
st Lucie County requires for the final Inspection ~or CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the trea ments and dates of applications.
Revised 7/24/20 14