HomeMy WebLinkAboutDrawing ___ Planning & Development Services
Y_ J I ' Building & Code Regulation Division
2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATM �°
CONSTRUCTION SOIL TREATMENT
PERMIT #: 2AI L o`a -7 ( JOB ADDRESS: JWAI fLk t---)r
BUILDER/CONTRACTOR: A nu
PEST CONTROL CONTRACTOR: EVICT-A-BUG TERMITE a PEST CONTR 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: _--' Time of Treatment: ��CX� 1't1
Footing �la
1st Treatment 1st Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 15t Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment �--�+
Re-Treat
Signature of Extermi to 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 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.
- Termite Inspection )eyes rhrist is 772-323-7921
- Termite Pretreatment � EYICt-A-Bag Tall free: 1-811-385-9998
• Pest Control � Termite & faX: 11Z-3'40-5990
- Rodent Service Pest
- Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefl Treatment = Inc.
Y 4293 SW High Meadow Ave.
- Licensed & Insured Lic.J6175775 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 CoLnty 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) V ' l CITY,STATE COUNTY
NOTES ZIP CODE
TREATMENT TYPE/AREA
LJ FLOATING J MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS l7 ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
❑TAMP&TREAT WREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE J-DOMINION 2L ACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
L7 OTHER
ACTIVE INGREDIENT { IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
L1.06% ❑.1% ❑.12% ❑.25% ?.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED
SQUARE FOOTAGE Q9 �, ) LINEAR FOOTAGE
SQUARE FoOTAGf_V RE IFIED
❑YES ❑NO CJ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
0 YES ❑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 Com lip ante: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 0 OTHER
Payment Terms: Payment due at time of service.
ittt�A1MI
s
Date Applicator:(Evict A Bug Termite and Pest Contrbl,Inc.) .`
Date Customer(Property Owner or Agent) %r�piuuOe�
www.evictabugpestcontrol.com