HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 3-21-22 _ I
RECEIVED
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APR 0 4; 2022
Planning p&Development Services St.Lucie County
Permitting
-1 - 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 #: �f �. ' JOB ADDRESS: Q-101 \' i,tiS�� I �t� ►a �
BUILDER/CONTRACTOR: b"Li1L YV6.s a Y,,0 j
PEST CONTROL CONTRACTO CT-A-BUG TERMITE&PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775 j
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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 lAssociation.
Square feet if area treated: � 'U Chemicals used: DOMINION 2L j
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Percentage of solution: 05% Total gallons used: �� I
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Date of Treatment: Time of Treatment:
Footing Slab
1st Treatment Et Treatment
Re-Treat Re-Treat
Driveway Pools
1st Treatment 1st Treatment
Re-Treat Re-Treat
Other tY1 'U,c���tt�tl �c� Perim' ter for Final Insp lion
—1st Treatment a '
P1
Re-Treat l f>
Signature f Exterm nator bate
Note; There must be a completed form for each required treatment or re-treatment and thi I 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. j
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. I
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 appli i ations.
Revised 7/24/2014
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• Termite Inspection Jesus Christ is �ohq 17�-���-7921
• Termite Pretreatment fU1Ct-A-Bug TO free: 1-877 385 9999
• Pest Control• Rodent Service Termite & ME 772-348-5999
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&REM VAL I WHITEFLY TREATMENT
DATE OF SERVICE TIME
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DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS(LOTIBLOCK) CITY STATE COUNTY
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NOTES ZIP CODE
TREATMENT TYPEIAREA
❑FLOATING d MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
t7 TAMP&TREAT ❑TREAT ONLY ❑FINAL ❑POOL DECK t7 OTHER
PRODUCTS
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❑BASELINE ;t7 DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER j
ACTIVE INGREDIENT O IMIDACLAPRID ❑BIFENTHRIN I❑DISODIUM OCI ABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% o0.05% ❑23% ❑9% ❑OTHER GALLONS APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
0 YES ❑NO O MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
O YES ❑NO DETAILS
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"Certificate of Compliance" !
As per 104.2.6,105.10&R318.1 FBC-If soil chemical barrier method for termite prevention is used. j
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 ❑OTHER
Payment Terms: Payment due at time of service. j
I Wgunumu/a,,,1. +• i I `�4E1�'A7M�"'
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Date � _ Applicator:(Evict A Bug Termite and Pest Control,Inc.) �
Date Customer(Property Owner or Agent)
I�,I I I I I I I I I I I lillU4
www.evictabugpestcontrol.com
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g5u5 Christ is�Or
Euicf A Bug a
T Termite$ Lic.JB175775
Pest
= :r Control,
=r' Inc.
i.
Pest Prevention Termite Protection
THIS NOTICE POSTED PURSUANT TO SECTION 104.2.7,FLORIDA
BUILDING CODE AND CHAPTER 482.226,FLORIDA STATUTES
Date of WDO Inspection(If Made) ❑Evidence ❑Activity ❑No Activity
*Datof tial Treatment Materials Used
Date of Final Exterior Tre ent Materials Used
Wood Destroying Organism Treated For
This property has been treated and placed under a retreatmenUrepair contract for subterranean
termites.This contract is renewable by payment on annual fee. The owner is hereby advised to
have this property inspected annually by Evict-A-Bug Termite&Pest Control,Inc.
Evict-A-Bug Termite&Pest Control,Inc.provided the termite protection
on this property. CALL US regarding our Pest Prevention,Fire Ant Lawn
Service and Rodent Service.
772-323-7921 9 1-877-365-99901.0 E ,
www.evictabugpestcontrol.com-evictabug@gmail.com
4293 SW High Meadow Ave.•Palm City,FL 34990
Cal/I811cI/1181e YHW I9,11mite G98,112 ee
Stephen Townsel www.evictabugpestcontrol.com
Technician evictabug@gmail.com
ID Card#JE221573 Jesus Christ is
DLorq
Lic.JB175775 Euict A-DU9
®� Termite&
Pest I
-•�-�- _ Control,
Inc. i
for IeT
Oper.JF173698 ,
4293 SW r rr r
Palm City,FL ., ;, ,
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