HomeMy WebLinkAboutCertificate Of Termite Treatment 6-14-18Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
RECEIVED
JUN 14 Mg
Permitting DePa tmen*
St. Lucie county
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 170 9 - 00 9 JOB AD
BUILDER/CONTRACTOR: r
: n oo 4,10e 6eek 4yi
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: .250
Percentage of solution: .05%
Date of Treatment:_
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re- eat
P_Other /���
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: _ l0 0
Time of Treatment: " i t ' 00
Slab
11t Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
% Perimeter for Final Inspection
1
Si ure of Exterminator batt
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 Inspectlon or the scheduled inspection w111 fall 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,
prov/d/ng a copy for the person the permit is issued to and another copy for the building permit files The Treadnent
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
• Termite Inspection .eyes Christ ;s for 1"72-3234921.
Termite Pretreatment �fdef A-BIJ9 a Tull [088,-811-�65.9990
Pest Control Termite & f8X:11Y-�40.5990
Rodent Service Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
Whitefly Treatment Inca 4293 SW High• Meadows Ave.
• Licensed & Insured I_ic. JB175775 Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 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
U
STRUCTURE ADDRESS (LOT/BLOCK)
CITY.
ZIP Cop�
NOTES r �l (i � I `I % U /
TREATMENT TYPEIAREA
❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑.GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT O TREAT ONLY '�❑ FINAL ❑ POOL DECK ❑ OTHER
.PRODUCTS
❑ BASELINE DOMINION 2LACTIVE INGREDIENT
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ .06% ❑ .1% ❑ .12% ❑..25%
SQUARE FOOTAGE
SQUARE FOOTAGE VERIFIED
0 YES ❑ NO
JOB READY CONDITIONS MET
I YES , ❑ NO
❑'TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
.05% 023% ❑'9%
�'IMIDACLAPRID ❑ BIFENTHRIN" ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ OTHER GALLONSAPPLIED 100
LINEAR FOOTAGE 9,(/
� MEASURED OR VERIFIED PER PLANS
DETAILS
As per 104.2.6 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'llne
FINAL STICKER
i�ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHERS
Payment Terms: Payment due at time of service.;
fN; III171111/ll
0i/r
Date Arlicalor: (Evict A Bug Tgrmite and Pest Control, Inc.) k• ,c
Date
Owner or Agent).
www.evictabugpestcontrol.com