HomeMy WebLinkAboutTermite Treatment NFGEIVF_l7
Planning &Development Services
Building &Code Regulation Divisionk�
2300 Virginia Ave
Fort Pierce, FL 34982i:
r�EtT914A�
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:a.o
la 6 5!A JOB ADDRESS: y-7"14
BUILDER/CONTRACTOR: lz . C-ov\C-ce. t
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: ��Poc) Chemicals used: C�L
Percentage of solution: -���� Total gallons used:
Date of Treatment: a 3 Time of Treatment:
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat e Re-Treat
Other L0A:tkAti�0L1L 11'kw; COA4 erimeter for Final Inspe on
1st Treatment i�: d Re-Treat
Signature of Exterminator Da e
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 Inspection- 5�5 Christ is 1 7.72-323-7921
® Termite Pretreatment Je rq
o Pest Control ® EVICf A-Bug Toll free: 1-877 385-9999
Termite $ M 772 349-5999
Rodent Service Pest
Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
Whi tefl Treatment Inc.
I Y 9 4293 SW Hi h 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 I' 1�I-7 t TIME
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS(LOTIBLOCK) CITY,STATE COUNTY
NOTES ZIP;CODE
TREATMENT TYPEIAREA
❑FLOATING "O MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
❑CUTOUTS. ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS U SIDEWALKS
O TAMP&TREAT ❑TREAT ONLY ❑FINAL ❑POOL DECK b OTHER [ `P'�,'I"J('1 F C 1
PRODUCTS A
Li BASELINE `tZI DOMINION 2LACTIVE INGREDIENT ElTERMIDOR SC ❑BORACARE ❑PREMISE ❑.TALSTAR 4 2021
❑OTHER St.Lucie County
Permitting -. .
ACTIVE INGREDIENT O IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑..06% ❑.1% ❑.12% ❑.25% 16.05% ❑23% ❑9% ❑OTHER GALLONSAPPLIED
SQUARE FOOTAGE ` l,n'i 'C^i LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
'❑YES ❑NO O MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
10 YES ❑NO DETAILS
i°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
FINAL STICKER 7 t
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER ,
moment Terms: Payment due at time of service.
�tiwuu,un,rp,
/ tJ 3
Date I Applicator:(EVICT A Bug Termite andlFest Control,Inc.) J e
4+
Date t Customer(Property Owner or Agent)
w,
www.evictabugpestcontrol.com