HomeMy WebLinkAbouttermite cert (2)• Termite Inspection e5.5 Christ Is for 772m323-7921
• Termite Pretreatment EYICt-A-aB119 p rflU Reif. �-9T1-385-9999
• Pest Control , Termite $ faX:112-348 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 --. TIME t.I
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
r 1�, -
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE COUNTY
LAJ
NOTES _ ZIP CODE
TREATMENT TYPE/AREA
r f-94 ]A
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT
6W.BEAT ONLY
,J FJNAL
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
� DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT C9IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION f
❑ .06% ❑ .1% ❑ .12% ❑ .25% ,✓Cyt05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED.
SQUARE FOOTAGE _ LINEAR FOOTAGE 2�') 5
SQUARE FOOTAGE VERIFIED
YES ❑ NO ❑WEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
IES ❑ NO DETAILS
"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 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 0�
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
Date
Date
Abplicator: (EvictABugTermite and Pest Control, Inc.)
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com
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
PERMIT #:r1 �-56") JOB ADDRESS: 50] w, r�
BUILDER/CONTRACTOR: _�"c�If1•r YolrdA- A I rMr�
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
E
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: Z 1 Sys
Percentage of solution: .05%
Date of Treatment: ) - % }J- ci-
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: % Y
Time of Treatment: 'r 3 d
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
��.. Re -Treat
nature
Date
1
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