HomeMy WebLinkAboutFINAL TREATMENTPlanning & Development Services
S1 _ _^ - Building & Code Regulation Division
[stela 1 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: UZZy JOB ADDRESS: W1j' C9If01401 F01_� PruCe',F& .���7
BUILDER/CONTRACTOR: braGa (S�rl rs
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 PNIP1014
ntrol Association.
l,'mew 2G
�3Rswe feet if area treated: �� Chemicals used:
Percentage of solution: a
Date of Treatment:
Footing
1st Treatment
� � Re -Treat
t✓ Driv�w�y Civtear�4-$o
(�// 1st Treatment/
Re-Treat
Other
15` Treatment
Re -Treat
Total gallons used.
Time of Treatment: (�
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
,. / Re -Treat
y Perimeter for Final Inspection
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 resistantjobsite 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
irmite Inspection
i ermite Pretreatment
- Pest Control
• Rodent Service
• Fire Ant Lawn Service
T tment
772w3Z;5w I w1m
Toll free:1-817-365.9686
fox: 712-346.5880
Email. Evictabug@gmail.com
4293 SW High Meadow Ave.
Palm City FL 34990
• Whitefly rea Lic. JB175775 1
• Licensed & Insured
Notice of Preventative Treatment for Termites
rnrtP iFBCI 104.2.6, MAO & R318.1 and Broward County Chapter FBC 105.2.2) ' TncATh Al=KIT
has requuGu .,y . ,.,...... __.--- ., vvni �
PEST PREVENTION I FIRE ANT SERVICE
1 TERMITE SERVICE I RODENT EXCLUSION &
REMOVAL I DATE OF SERVICE TIME
DEVELOPMENT NAME (PROJECT)
STRUCTURE ADDRESS (LOTIBLOCK)
NOTES
TREATMENT TYPEIAREA
❑ FLOATING ❑ MONOLITHIC
❑ CUTOUTS ❑ FOOTER
❑ TAMP & TREAT ❑ TREAT ONLY
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑.06% ❑.1%
SQUARE FOOTAGE_
CONTRACTOR'S NAME
CITY, STATE
CONTACT PERSON
❑ PATIO ❑ GARAGE ❑ DRIVEWAY
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT
❑ FINAL ❑ POOL DECK ❑ OTHER
COUNTY
ZIP CODE
❑ STEM WALUFOOTERS ❑ ADDITION
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ DOMINION 2L ACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .12% ❑ .25% ❑ .05% ❑ 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE VERIFIED
❑ YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
❑ YES ❑ NO DETAILS
LINEAR FOOTAGE
GALLONS APPLIED
"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
Payment Terms: Payment due at time of service.
Date
❑ OTHER
Applicator: (Evict A Bug Termite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com