HomeMy WebLinkAbouttermite spray Planning &Development Services
r C Building &Code Regulation Division
2300 Virginia Ave
_ Fort Pierce, FL 34982
o 772-462-2172 Fax 772-462-6443
LPN 60...-
CERTIFICATE OF TER
MITE TREATMENT 9�Pecm`��ng
CONSTRUCTION SOIL TREATMENT
PERMIT #: P05- Oq( 7 JOB ADD�, I1RES 51Q5
BUILDER/CONTRACTOR: U"A deb 1 6
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:
Date of Treatment: ZoZZ Time of Treatment:
vFooting fab
yi"Treatment C,--i �Treatment
Re-Treat Re-Treat
Driveway Pools
I"Treatment 1st Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
Re-Treat
-Treat `
i Treatment G 1161"t
�
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.
FBC 104.2.6 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,
-pro vIdIng a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall pro vide 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 eyUS Christ,is loh 772-323-7921 ,
Termite Pretreatment �® EVICT-AA U, a Tnll free: l-877-365.9999
Pest Control Termite 8 far772-349-5998
�
• Rodent Service �, Pest.
• Fire Ant Lawn Service . Control, Email:.Evictabug@gmail.com
• Whitefly Treatment inc' 4293 SW High Meadow Ave.
Licensed & Insured Lic.JB175775 Palm City, 5L'34990
i 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 IJ FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE' r zoo TIME )U
DEVELOPMENT NAME(PROJECT) �1 CONTRA�CTORS NAME CONTACT`rR50N"'j���6►!/__��/"��
STRUCTURE
ADDRESS CLUvI��sov\ _ VOACl� (Lr'�1,�STATE r 1. COUNTY t Q,
[NOTES
ZIP CODE
TREATMENTTYPEVIAREA�
❑FLOATING O MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS O ADDITION
❑CUTOUTS O�OOTER ❑FRONT ENTRY ❑RETREAT I. ❑BORA CARE TREATMENT LT PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT l]+TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE 0 DOMINION 2L ACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
l f' •
- ACTIVE INGREDIENT `O IMIDACEAPRID--D-BIFENTHRIN`O DTSODIUN—OCTA'BORATE TETRAHYDRATE
CONCENTRATION
❑.O6% ❑.1% ❑.12%, •❑.25% 665% (�❑23% ❑9% ❑OTHER GALLONS APPLIED 2
SQUARE FOOTAGE P—( 1 LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
EI'YES ' ❑NO IT ASURED OR VERIFIED PER PLANS I
JOB READY CONDITIONS MET
OYES ❑NO DETAILS
"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 service's.(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:(Evict A Bug Termite and Pest Control,Inc.) . ' d
Date Customer(Properly Owner or Agent)
' www.evictabugpestcontrol.com