HomeMy WebLinkAboutTermite Treatment (2) • - ✓' rill
Planning &Development Services
Building &Code Regulation Division
2300 Virginia Ave
• Fort Pierce, FL 34982 RECEIVED
772-462-2172 Fax 772-462-6443
DEC 0 7 2021
CERTIFICATE OF TERMITE TREATMENT St.Lucie County
CONSTRUCTION SOIL TREATMENT Permitting
PERMIT #: Z�OZ- 03�� ) B ADDRESS:117 Skoil CGlke OU5L K, �
BUILDER/CONTRACTOR: �( aojo Co 00,gY AGfic)
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,
ti.%car �6
5qmm feet if area treated: Chemicals used:
Percentage of solution: 'v�jp Total gallons used: �v
Date of Treatment: �( Time of Treatment:
Footing---- --- - - - — - Slab - - _ - --- . - ----- - -
1st Treatment 1st Treatment
Re-Treat Re-Treat
Dri Pools
veway �� ��
Gal used•y0
1st Treatme t �� j 1st Treatment
Re-Treat —Re-Treat
Other Perimeter for Final Inspection
1st Treatment
Re-Treat
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 jab
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a relnspection
fee charged.
i
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 I issued to and another copy for the building permit files The Treatment
Certificate shallprowde 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 e5u5 Christ is for 772-323-7921
• Termite Pretreatment �® Met-A- a loll frog: 1-911-385-9998
• Pest Control 1E Termite & faX: 7 -349.5999
• Rodent Service
� Pest• Fire Ant Lawn Service x ;. Control, Email: Evictabug@gmail.com
Inca
• Whitefly Treatment 4293 SW High Meadow Ave.
• Licensed & Insured Lit.JB175775
Palm City,,FL 34990
Notice of Preventative Treatment for Termites RECEIVED
(as required by Florida Building Code(FBC) 104.2.6, 105.10&R318.1 and Broward County hapter FBC 105.2.2)
PEST PREVENTION I ",FIF{E ANT SERVICE' I TERMITE SERVICE I RODENT EXCLUSION&RE A 1�'-'NVIHITEFLY TREATMENT
P \�,
DATE OF SERVICE //76?/ V" fir,l ueip
TIME Permitting Y
DEVELOPMENT NAME(PROJECT) I) CONTRACTOR'S NAME CONTACT PERSON'?-7 ;i _ f - 1,7
rr;( ;- _&`�,r\ tl1n�U�11�, <<,�' �)I� 'rr����eSC6 �( Z'iSiv�(_l:c� dv��l�E� r � ,
STRUCTURE ADDRESS(LOTIBLOCK) (` C. STATE COUNTY
1 C'S ,7 <' ✓C.I G kP, ��Y _5
NOTES I I ' 7 I� t / ZIP CODE
,�`✓;� z �vZ- �J Pao�u �;� , ► C �' ��y"11/CliG11 1 G��6�
TREATMENT TYPEIAREA (7 CIA Vvi V,� �
❑.FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE 12'DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT GI-TREAT ONLY l]4AL ❑POOL DECK , []OTHER
PRODUCTS
r �
❑BASELINE 17"DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR'SC ❑BORACARE ❑PREMISE .❑TALSTAR
❑OTHER
ACTIVE INGREDIENT - - - bw-,IDACLAPRID ❑BIFENTHRIN =❑DISODIUM OCTABORATETETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% I]'.05%' ❑23% ❑9% ❑OTHER GALLONSAP, LIED
SQUARE FOOTAGE LINEAR FOOTAGE . C(V
SQUARE FOOTAGE VERIFIED 11
OYES ❑NO ®Q/EASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET h\
❑•YES ❑NO DETAILS �_� `�J\..��(�,� ()�� ��l'• �
"Certificate of Compliance"
As per 104.2.6,105.10&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 i � �
FINAL-STICKER
❑'EL�PANEL ❑WATER HEATER ❑OTHER `
Payment Terms: Payment due at time of service.
1 )J f
i r �
Date Applicator:(Evict A Bug Termite and Pest Control,Inc.)
bo
Date Customer(Property Owner or Agent)
www.evictabugpestcontrol.com