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HomeMy WebLinkAboutTermite Cert 4625.pdf• Termite Inspection �,s Christ is 772-323-7921 • Termite Pretreatment 1e5 • Pest Control Edd A -guy Tull free.1-877-315 9999 • Rodent Service Termite & fal% 772-340-5909 Pest Fire Ant Lawn Service Control, Email: Evictabug@gmail.com • Whitefly Treatment Inc. 4293 SW High Meadow Ave. • Licensed & Insured Lic. JB175775 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 TIME DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON STRUCTURE ADDRESS (LOT/BLOCK)� p CITY, STATE COUNTY NOTES ZIP CODE TREATMENT TYPE/AREA ❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLIFOOTERS ❑ADDITION ❑ CUTOUTS 0 FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS ❑ TAMP & TREAT ❑ TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER PRODUCTS ❑ BASELINE ❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR ❑ OTHER ACTIVE INGREDIENT ❑ IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION ❑ .06% ❑ .1% ❑ .12% ❑ .25% ❑ .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED SQUARE FOOTAGE LINEAR FOOTAGE SQUARE FOOTAGE VERIFIED ❑ YES ❑ NO JOB READY CONDITIONS MET ❑ YES ❑ NO © MEASURED OR VERIFIED PER PLANS DETAILS "Certificate of Compliance" As per l04.2.6, 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 Com liance: 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_, ; PaymentTerms: Payment due at time of service. Date Applicator: (Evict A Bug Termite and Pest Control, inc.) Date Customer (Property Owner or Agent) www.evictabugpestcontrol.com 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 #: I�t3 5i V O ADDRES �0X5 -:<- _T F BUILDER/CONTRACTOR: PEST CONTROL CONTRACTOR:c�� 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: J Percentage of solution: .05 Date of Treatment: ` /FooN�`atment Re-Treat Driveway 15t Treatment ,,_�_Re-Treat Other, OA'� -� 1st Treatment (e'j Re -Treat Chemicals used: DOMINION 2L Total gallons used: Time of Treatment: u` o Note: There must be a completed form for each required site to be picked up by the inspector at time of each inspe fee charged. Slab 15t Treatment Re -Treat Pools 15t Treatment _Re -Treat meter for Final 1� re of Date rent or re-Vreatment and this form must be on the job or the scheduled inspection will fail and a re -inspection FSC 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, providing a copy for the person the permit is issued to and another copy for the building permit fries 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 usea; 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