HomeMy WebLinkAboutTermite Treatment RECEIVED
- Planning &Development Services OCT 2 6 2021
. �� C. _ Building &Code Regulation Division St.Lucie County
0 2300 Virginia Ave PP.rmittina
• o Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 0 - 4 O JOB ADDRESS: J 1A0w� l
BUILDER/CONTRACTOR: o Cc
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 Pest Control Association.
Square feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .05 Total gallons used: 1J v
Date of Treatment: Time of Treatment:
Footing - - — — -- Slab —_ � -----
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat e-
Other ri eter for Final Inspection
1st Treatment
Re-Treat Q�
S'g ature of Xt tor 'Date
Note: There must be a completed form for each require treatment or reatment 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 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 Je5u5 Christ is Cora 772-323-7921
• Termite Pretreatment fVICf-A-Bug
• Pest.Control Termite 8 T011 frog: 1-611365.9990
=�
• Rodent Service ® g. Pest fax:772-349-5999
• Fire Ant Lawn Service , x- Confrol, Email: Evictabug@gmail.com
• Whitefly Treatment 4293 SW High Meadow Ave.
• Licensed & Insured Lic.J6175775 Inc. 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 Cj 13 ' (7 ! TIME
D�.VEL`PMENjNAME(PROJECT) - CONTR�A�CTOR' NAME CONTACT[f� ERSON �r Iq 1q/�,6
STRUCTURE ADDRESS(LOT/BLOCK) J !v� CITY,STATE !l/ COUNTY `j
S� 4 ( � •.
rNOTES . I ZIP CODE
TREATMENT TYPEIAREA
❑FLOATING ❑MONOLITHIC Cl PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT EAT ONLY 1AL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE 96MINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT ,r 1MIDACLAPRID ❑BIFENTHRIN ElDISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% /5% ❑23% El9% ❑OTHER GALLONS APPLIED l—7
SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
YES ❑NO /MEASURED OR VERIFIED PER PLANS '
JOB READY CONDITIONS MET
/ ' — ❑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 Cons mer Se y�es.(Per the Floridaquilding.Code.)
If this notice is for the final exterior treatment,initial and date this line: /47_.�r'�
FINAL STICKER c
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER rn
y
Payment Terms: Payment due at time of service.
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Date Customer(Pr ope wner orAgent) �''?¢g719Unry$
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www.evictabugpestcontrol.com