HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 7-15-19Planning & Development Services
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 : JOB ADDRESS: ��g- Clc c� l IPvc—p
BUILDER tCONTRACTOR:
PEST CO ITROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175776
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: 950sf' Chemicals used: DOMINION 2L
Percentage
of solution: .05% Total gallons used: 1 Z-5
Date of Tre
tment:Time of Treatment; 3�•oa
Footl
ig Slab
i' Treatment 1st Treatment
Re -Treat Re -Treat
Drive
tvay Pools
1st Treatment 15t Treatment
Re -Treat Re -Treat
-Other
�Perllneter for Final Inspection
1st Treatment
Re Treat
Si ure 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 Pic ked up by the Inspector at dme of each inspection or the scheduled Inspectlon will fall and a re-lnspectlon
fee charged.
FSC104.2.6Certlflcate of Protective Twatrrrent for prevention of termites R weather resistantjobsite posting board
shall be proded to recelve dupllcate Treatment Certificates as each required protective treatment Is completed,
providing a py for the person the permit Is issued to and another copy for the building permit flies The Treatment
h Certlflcate sall provide the product used, Identity of the applicator, time and date of the treatment, site location, area
treated, chet, 7kal used, percent concentraticn and number of gallons used, to establish a verifiable record of
protective tr tment. If the soil chemical barrier method for termite prevention is used, final exterlor treatment shall
be complete prior to final building approval.
St Lucie C unty requires for the final Inspection for CO, a Permanent Sticker to be placed on
th®®lectri al panel box cover, listing all the treatments and dates of applications.
Revised 7
• Termite Inspection Jesus Christ is `ors 772423-7921
• Termite Pretreatment ENGI-A-BUR Tull free:1-877-315.8019
• Pest Control Termite &
• Rodent Service Pest f3X: lyZ-34D-599Q
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Ins• 4293 SW High Meadows Ave.
• Licensed & Insured Lic. J8175775 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 ) I TIME
DEVELOPMENT' NAME (PROJECT).: CONTRACTOR'S NAME CONTACT PERSON
� � '� I irLJ• vl ►9r
STRUCTURE A DRESS (LOTIBLOCK)� CITY, STATE C UNTY
J l.� i a J ..�r. C' S'7 -�"
NOTES f Q ,-� p� r ZIP CODE
0 �Y' 1 � et f I �1 e-6,,- � ! e vc' . INS 1 �i� � � � � �� � `t 7 �� � .
Ci: `_�
TREATMENTTYPEIAREA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑'FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT
EAT ONLY
INAL
❑ POOL DECK
❑ OTHER
PRODUCTS
❑ BASELINE �DOMINION 2L ACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT P ) IMIDACLAPRID ❑ BIFENTHRIN. ❑ DISODIUM OCTABORATETETRAHYDRAT.E
CONCENTRATION
❑ .06% ❑ .1 % ❑ .12% ❑ .25% � ,05% ❑ 23% CI 9% ❑ .OTHER GALLONS APPLIED / t
SQUARE FOOTAGE LINEAR FOOTAGE == S3 I 1
SQUARE FOOTAGE VERIFIED i+'
Q YES ❑ NO 1 t•] MEASURED OR VERIFIED PER PLANS :' '�,,,�•-"'
JOB READY CONDITIONS MET i •'
[] YES ❑ NO DETAILS
Asper 1-X2:6 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 �/ i �
FINAL STICKER
ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Paymeryt Terms; Payment due at time of service.
1�M1• ~� / 7+ f (7 r,.�.-.--,....w.,,.__.......................... .........
%s.•?'';''�1at8 1 Applicator. (Eve Bug Termite and Pest Control, Inc.) '
�..,-�-•-=..' �� d it -f-��C ;C�
Date Cpsfamer (PropertOwner or Agent)
www.evietabugpesteontrol.com
a�.