HomeMy WebLinkAboutCertificate Of Termite Treatment., iPlannung & Development SeMces
Baai➢tiling i$e Cod® Regulaticn Division
® 2300 Worg➢noa Ave
IFort Piles ce, FL 34982
,.,,...._..........�_ _.--_ _ 772-462-2172 Fax 772-463-6443
CERTIFICATE OF TERMITE TREATMENT
ENT
CoNsfl'RUCTION SOIL TREATMENT
ERMIT #: I O c•- 0 JOB ADDRESS:
P
BUILDEF /CONTRACTOR: _ �, �. _ ., _ o _., � A ,1 _. t
PEST CONTROL CONTRA(
PEST CONTROL LICENSE
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:
Percentage of solution: 2 Oa Total gallons used:
Date of Treatment: Time of Treatment: 3 d
Footing
1�t Treatment
Re -Treat
Driveway
1-51 Treatment
Re -Treat
Other
1� Treatment
Re -Treat
Slab
�11� Treatment
Re -Treat
Pools
ist Treatment
Re -Treat
Perimeter for Final Inspection
Signat#re of r
Y t-e'c-c 5 �9<'�L—
Note: There must be a completed form for each required treatment or re -treatment and this form most be on the job
site to be picked up by the inspector at time of each inspection or the scheduled Inspecdon w111 fall and a -re -inspection
fee charged.
FOC104.2.6 Certificate of Protective Tmatme nt forprevention oftenn#es. A weather rescslantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protectve 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 ofgallons 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 >Perrhinent Sticker to be placed on
the electrical panes box cover, ills ng all the treatments and dates of applications.
• Termite Inspection e505 Christ iS nor 772-323-7921
Termite Pretreatment �® Edet A -Bug p Toll Free: 1-877-365-9990
• Pest Control Termite & Fax: 772-340-5990
• Rodent Service Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment _ Inc. 2373 SW Woodridge St.
• Licensed & Insured Lic. JB175775 Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.26 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 15�.;L4 I V TIME
DEVELO PMEIT NAME (P,.�OJECT) CON CTOR'S NAME CO ACT PERSON
IQ,�ce tJLtr .k � 66C nvle 6-)oo j1�G11
STRUCTURE ADDRESS (LOT/BLOCK) CIT,STATE, ZIP CODE COUNTY
NOTES
11[CMIIrIC1Y1 1 It"CIMRCM
COATING El MONOLITHIC
CUTOUTS ❑ FOOTER
❑ TAMP & TREAT k'TREAT ONLY
PRODUCTS
ASELINE
❑ OTHER
ACTIVE INGREDIENT
❑ PATIO
❑ FRONT ENTRY
❑ FINAL
❑ DOMINION 2LACTIVE INGREDIENT
❑ GARAGE
❑ DRIVEWAY
❑ RETREAT
❑ BORA CARE TREATMENT
❑ POOL DECK
❑ OTHER
RIFENTHRIN ❑ TERMIDOR SC ❑ BORACARE
❑ STEM WALUFOOTERS
❑ PLUMBING CUT OUTS
❑ ADDITION
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
'W06% ❑ .12% ❑ .25% ❑ .05% /❑ 23% ❑ 9%- ❑ OTHER GALLONSAPPLIED
SQUARE FOOTAGE I to LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
11FSES ❑ NO
JOB READY CONDITIONS MET
`bPES ❑ NO
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 line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms:.Payment due at time of service.
151- �31/1/ q--
Date
Date
❑ OTHER
Applicator: (EvictA Bug Tepnite and Pest Control, Inc.)
n d4
Customer (Property Owner or Agent)