HomeMy WebLinkAbout2011-0614 termite finalif'~U«llt@11 "--
COUNTY ·.
FLORIDA
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT#: lo!!-0&!!/ JOB ADDRESS: 57r Nt\\\tS B1vJ ,~~ {3to-c~,R, 3qq57 BUILDER/CONTRACTOR: Mtl-(~V (O~Wv--l\'1<JV\
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE & PEST CONTROL INC . PEST CONTROL LICENSE #:Js11sns -----------------------
We, the undersigned, hereby certify that we have pretreated the above described construction for lui~:;_anean termites in accordance with the standards of the National Pest Control Association.
--feet if area treated: f tG
Percentage of solution: .os
--:Z=---,--1-G , ?J;-:--ZZ Date of Treatment: --------
__ Footing
__ 1st Treatment
__ Re-Treat
__ Driveway
__ 1st Treatment
__ Re-Treat
__ Other ________ _
__ 1st Treatment
__ Re-Treat
Chemicals used: DOMINION 2L -----,--------
To ta I gallons used: ___ /_O_O ____ _
Time of Treatment: ___ 'J _____ _
__ Slab
__ 1st Treatment
__ Re-Treat
__ Pools
__ 1st Treatment
(_/.; Re-Treat
__Perimeter for Final Inspection
~-e-/rf-?(!Zc
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 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 extenor 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
r. l,• · -· · · ~ l...~ " · -g;t ..+--:.;" _f_,----= ~L~-~ I ~ • --1;:.;•, -· ~"·' ~;~~._:$_::( l,"t~ !.~7 ~~ .. ;f (L('.:4:-~~~;J~ --=~~~-~~~ •"4~(,tE~i1' :r~~ ~f---._, . -. .--· ,, '·--~~.... .. ~-:I"·. ~~.:~-~1', ;y_· -· . • ' .c.-. . .• • •. ----I~ l!v--fJ-Tv vJ5 _
ermite Inspection
772·-323-7921
Tall free: I-B11-3BS-BBBB
lax: 112-340-SBBB : • Termite Pretreatment
· • Pest Control
· • Rodent Service Email: Evictabug@gmail.com
ti
• Fire Ant Lawn Service
t • Whitefly Treatment Lie. JB175775
4293 SW High Meadow Ave.
Palm City, FL 34990 · • Licensed & Insured
Notice of Preventative Treatment for Termites
(as required by Florida ~uilding Code (FBC) 104.2.6, 105.10 & R318.1 and Broward County Chapter FBC 105.2.2)
FIREANT SERVICE I TERMIT6ERVICE I · RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
PEST PREVENTION i / .
DATEOFSERVlcEz .... / -~ TIME ~l -•
DEVELOPMENT NAME (PR EJ >o~ +
STRUCTURE ADDRESS (LOT/BLOCK)
TREATMENT TYPE/AREA
□ FLOATING
□CUTOUTS
□PATIO
C
~ "{ Q_ l..,\\'l'-1',_ ~
□ DRIVEWAY
□ BORA CARE TREATMENT
□ STEM WALUFOOTERS
□ PLUMBING CUT OUTS
□ADDITION
□SIDEWALKS
□ TAMP & TREAT
□ MONOLITHIC
□FtyTER
B"'ffiEATONLY
□ FRONT ENTRY
~AL
□ GARAGE
□RETREAT
□ POOL DECK □ OTHER ________________ _
PRODUCTS
□ BASELINE ~MINION 2LACTIVE INGREDIENT □ TERMIDOR SC □ BORACARE □ PREMISE □TALSTAR
□ OTHER _______ _
ACTIVE INGREDIENT ____________ _ ~DACLAPRID □ BIFENTHRIN □ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
□ .06% □ .1% □ .12% □ .25% ~ □23% □9% □ OTHER_____ GALLONSAPPLIED __ /_O_O __ _
LINEARFOOTAGE ____ ~I _Kl_O ______ _ SQUARE FOOTAGE _______________ _
S UARE FOOTAGE VERIFIED
ES □NO ~SURED.QR VERIFIED PER PLANS
JOB READY CONDITIONS MET
;?s □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 Services. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line h §) 2-lur to2Z
~{STICKER
ELECTRICAL PANEL □ WATER HEATER
Payment Terms: Payment due at time of service.
l -1~-lo??
Dale 2-1~ ~Zul2 Applicator: (Evict A Bug Termite and Pest Control , Inc.)
(ell 0'1Srle
Date Customer (Property Owner or Agent)
www.evictabugpestcontrol.com