HomeMy WebLinkAboutPermit 2112-0665 termite treatmentPlanning & pey IOPment Services
T Building & Code Regulation Division
2300 Virg"' Ave
Fort Pierce, FL 34982
772-462-2,71 Fax 772.462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I JOB l4l�M� i� ADDRESS - I �OQWAofll p1t
' D�i C►'�� �
BUILDER/CONTRACTOR: � 5 L 1 C
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE 8 pEgT CONTROL INC
PEST CONTROL LICENSE #: JB17sns
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.
Souare feet if area treated:
710 Chemicals used: DOMINION 2L
Percentage of solution: 05%
Date of Treatment: 2 0 _z67Z2
�Footin
V Treatment
Re -Treat
Driveway
1�1 Treatment
Re -Treat
Other
V" Treatment
Re -Treat
Total gallons used: 100
2
Time of Treatment:
lab
1� Treatment
Re -Treat
Paols
1" Treatment
Re -Treat
Perimeter for Final Inspection
/O "OZ Z
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 cfharged.
FBCI04.2.6 Certificate ofProtectr've Treatment for prevention of termites A weather reslstantjobsite 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 poor 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.
Rrvised 7/24/2014
Per &- �S 0 S4-ioc,c-(C, - O�
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whiitefly Treatment
772-323-7921
Tull free:1-877-385.9999
fax: 772-349-599D
Email: Evictabug@gmail.com
4293 SW Hi h Meadow Ave
• Lic JB175775 14 d
Licensed � Insured 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 1 RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE _ TIME -
DEVELOPMENT DEVELOPMENT NAME (PROJECT) CONTRACT 'S NAME CONTACT PERSON
STRUCTURE ADDRESS (LOTIBLOCK) CITY, STATE COJNTY
L I yct h PCA WC4V
NOTES ZIP CODE
TREATMENT TYPEIAREA
❑ FLOATING
0 MONOLITHIC ❑ PATIO
❑ GARAGE ❑ DRIVEWAY
❑ STEM WALLIFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ 500TER ❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT
❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMPS TREAT
❑ TREAT ONLY ❑ FINAL
❑ POOL DECK O OTHER X
S ►r,
PRODUCTS
❑ BASELINE
❑ DOMINION 2L ACTIVE INGREDIENT U TERM
DOR SC ❑ BORACARE ❑ PREMISE
❑ TALSTAR
C] OTHER
ACTvc INGREDIENT
-
❑ fMIDACLAPRID ❑ BIFENTHRIN
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ 06% ❑ .1 % ❑ 12% ❑ -25% ❑ "05% ❑ 23% ❑ 9% ❑ OTHER _ GALLONS APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE
ER FOOTAGE VERIFIED
:)YES ❑ NO G MEASURED OR VERIFIED PER PLANS
J03READY CONDITT NS MET
❑ YES ❑ NO DETAILS -
"Certificate of Compliance"
As per 104.2.15, 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 _ ]J
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER _
Payment Terms: Payment due at tme of sernce
Da'e Applicator (EnctA Bug Termite and Past Control, Inc.)
Date
Customer (Property Owner or Agent)
�iR�A7M�y ,
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