HomeMy WebLinkAboutTermite Treatment RECEIVE[
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Planning &Development Services NOV 1 � 2021
Building &.Code Regulation Division St Lucie County
r� 2300 Virginia Ave Permitting
o Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: .11 1- 009Lf JOB ADDRESS: 2 SSA C'o 6r14y� Ce Orf)-hle- LY,
BUILDER/CONTRACTOR: TAi 1 13 ; I dt1S
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #:JBI75775
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: l Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used:
Date of Treatment: Time of Treatment: 9=
Footing Slab
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
ii Other a e A:s uA 1 P I eter for F In coon
1st Treatment
Re-Treat f e
Sig re o er in r Date
Note. There must be a completed form for each required treatm 3 7 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.
F�C104.2.6 Certificate of Protective Treatment for prevention of termites A weatherresistantjob_site posting board
s all.be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
p�oviding 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
tie electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
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• Termite-Intpection JeS�s Christ is I t 772_323_7921
• Termite Pretreatment EVICT-A-Bug Toll free: 1-811-865-9990
• Pest Control Termite & faX-11Y-840-5990
• Rodent Service ® Pest
• Fire Ant Lawn Service -. Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc• 4293 SW High Meadow Ave.
• Licensed & Insured Lic.J13175775 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 `-;h-( TIME
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON
ii 1 i ( (_
l 1 s/'✓� ^} R,'l i ;ts!_ [�if J-r V l�`P7JT4
STRUCTURE ADDRESS(LOT/BLOCK) CITY,STATE COUNTY
U --� `�LE�� d r��r�,,rn,�, r. �_(��C>�'I--�-r`'�' �� •i'�1 -� ��}.� , t_���C 1(
NOTES—� �l ZIP CODE
,
TREATMENT TYPEIAREA
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT O'PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT 'd TREAT ONLY ❑FINAL
❑POOL DECK OTHER C°I,•(
PRODUCTS
❑BASELINE rtZI DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE-INGREDIENT rlj IMIDACLAPRID-❑BIFENTHRIN ❑DISODIUM OCTABORATETETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25%0 0.05% ❑23% ❑9% ❑OTHER GALLONSAPPLIED
` � ., - -
SQUARE FOOTAGE i LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
O YES ❑NOMEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
t7 YES ❑NO DETAILS
i°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
FINAL STICKER
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER f
Payment Terms: Payment due at time of service.
Date Applicator:(Evict A Bug Termite and Pest Control,Inc.)
Date Customer(Property Owner orAgent) "F, 16lie,®
www.evictabugpestcontrol.com