HomeMy WebLinkAboutTermite Treatment i
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Planning &Development semices
J 1 - Building&Code Regulation Division �
® 2300 Virginia Ave
Fort Pierce, AFL 34982
' 772-462-2172 Pax 972-462-6443
CERTEFICATE OF TERMITE TREATMENT
CONSTRUCTION SORL TREATMENT
PERMIT #: 0 0 1— - ,70E ADDRESS. �� ►vim•, i, I \ �� P
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST- CONTROL LICENSE #: JB175775 f
We, the undersigned, hereby certify that we have pretreated the above described constrLtion for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated:? Chemicals used: 8A@@ME
Percentage of solution: , C {
9 K� Total gallons used: �o i
Date of Treatment: 7-- - - — - - Tune of Treatment: ;v� °" 0
p
Footing Slab
15t Treatment 15t Treatment
Re-Treat Re-Treat
Driveway Pools
11t Treatment 15t Treatment
Re-Treat
Re-Treat
.Other_Cwlrov,14-s lot (,+,ry Perimeter for nal Inspection
Treatment
Re-Treat -. - ! �' f / ��
Signature of Exterminate' ate
Note. There must be a completed form for each required treatment or re-trey I ne and this f6rn7 roust be on me,lo6
site to be plcked up by the inspector at time of each Inspection or the scheduled Inspectlon MY fall and a re lnspectlon
fee charged.
IFBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobslte posting board
shall be provided to receive dupllcate Treatment Certificates as each required protective treatrr entIs completed,
provld/ng a copy for the person the permit is Issued to and another copy for the building perm/tfiles The Treatment
Celtlfcate shall provide the product used,ldenfity of the applicator, time and date of the treatment,site location, area
treated chemical used.P 9
ercent concentration and number of ga
llons used to establish a verifiable record of
al!
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prlor to final bullding approval.
St Lucia County req uOres for the flinal inspection for C®,a Permanent Sticker to be placed on
the electrlcal panel (box coven, lusting all the treatments and dates of applications.
Revised 7/2412014
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Termite Inspection e505 Christ is for 2-323-7921
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Termite Pretreatment ® EVICt A-Bug Toll 'Free: 1 -877-365-9990
• Pest Control Termite & Fax: 772-340-5990
• Rodent Service Pest
• Fire Ant Lawn Service Control,. Email: Evictabug@gmail.com
• Whitefly.Treatment Inc' 2373 SW Woodridge St.
• Licensed & Insured Lie.JB175775 Port St. LUcie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code(FBC)104.26 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 CJ �J TIME
DEVELOPMENT NAME I(t?ROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS(LOT/BLOCK) d �, y� / (CITY,STATE �. (COUNTY
I c f�l F of .Vt('1�S tT` i�✓�t (!� C ��I `{ l GQ, , ( 7
NOTES1 ZIP CODE
iT f°�`� lJq(� Atr 1 ���
TREATMENT TYPE/AREA
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
�4 CUTOUTS ❑FOOTER L FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT 'LI'PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER l'
PRODUCTS
.G
❑BASELINE f0 DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT O%IMIDACLAPRID O.BIFENTHRIN ;.❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.12% ❑.25% A/05% ❑23% ❑9% -❑OTHER. GALLONS APPLIED
�15r
y^. S
SQUARE FOOTAGE b ��' LINEAR FOOTAGE 1
SQUARE FOOTAGE VERIFIED '
AIYES ❑NO 4 MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
/❑,YES ❑NO DETAILS
As per 104.2.6 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 accorda Ice 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
1- ❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER
Payment Terms: Pa yme t`due at time of service.
1-7
Date ( Applicator:(Evict A Bug Termite and Pest oC n�Inc.)
Date Customer(Property.Owner or Agent)
www.evictabugpestcontrol.com