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Home My WebLink AboutTermite Treatment 0, Planning &Development Services Building &Code Regulation Division RECEIVED • 2300 Virginia Ave • Fort Pierce, FL 34982 NOV ® 3 2021 772-462-2172 Fax 772-462-6443 St,WQig County PermlUing CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: lot-bLI u JOB ADDRESS: -kkaT\ POiVl t 'or BUILDER/CONTRACTOR: Ilq PEST CONTROL CONTRACTOR: PEST CONTROL LICENSE #:_ )% �j�5�6 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: �op\ ��- Percentage of solution: A Total gallons used: J'A Date of Treatment: �1 Time of Treatment: Footing � Slab " 1st Treatment �15t Treatment Re-Treat Re-Treat Driveway Pools 1st Treatment 1st Treatment Re-Treat Re-Treat Other Perimeter for Final Inspection 1s`Treatment Re-Treat _!4_ I H'_"LIl 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. 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 n Ins ecti0 • Termite Pretreatment ou� 772-307-3442 • Pest Control 33 S Email: thebugassassinsllc@gmail.com • Rodent Service We're here to Kill the Bugs 8500 20th St. • Fire Ant Lawn Service and ke Compefition • Whitefly Treatments P.O. Box 690246 • Licensed & Insured Lic.JB 274536 Vero Beach, FL. 32969 Notice of Preventative Treatment for Termites (as required by Florida Building Code(FBC) 104.2.6 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 `\l. DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON rl �� ('��,f, STRUCTURE ADDRESS(LOT/BLOCK). ` 1. CITY,STATE r l J COUNTY �7\I. �.,(G\.f 1 _ i L - l�,•✓t, -)/ NOTES ZIP CODE \ i TREATMENT TYPEIAREA ,M,FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION ❑CUTOUTS ❑r FOOTER ❑FRONT ENTRY ❑RETREAT ElBORA CARE TREATMENT ❑PLUMBING CUTOUTS ElSIDEWALKS . ❑TAMP&TREAT O,TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER PRODUCTS ❑BASELINE 0 DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR ❑OTHER ACTIVE INGREDIENT :13,IMIDACLAW[D ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION i ❑.06% �:(1% ❑.12% ❑.25% ❑.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED { SQUARE FOOTAGE ! LINEAR FOOTAGE SQUARE FOOTAGE VERIFIED OYES ❑NO <❑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 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 ❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER Payment Terms: Payment due at time of service. Date Applicator:The Bug Assassins,LLC Date Customer(Property Owner or Agent)