HomeMy WebLinkAbout1707-0182 CERTIFICATE OF TERMITE TREATMENT 3-9-18a � �
Planning & Development Services D
Building & Code Regulation Division , ... , _
2300 Virginia Ave MAR 2 2�J18
Fort Pierce, FL 34982 1
- - 772-462-2172 Fax 772-462-6443 L 'n`Y tt�ro
ST. Lucie &nty, Permitt! g
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT -2bl
PERMIT #: 17®? — d 19� JOB ADDRESS: � 9 I� ` � ' Pt�
BUILDER/CONTRACTOR: L2i-eCaaacee-sc- can- ��
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: lke Chemicals used: DOMINION 2L
Percentage of solution:.05%
i—
Date of Treatment: 3 J = - -
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Total gallons used:
—Time -of Treatment:_[
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
erimeter ZIns,ection
ignature of Exterminator D e
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 charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobs/te posting board
shall be provided to receive duplicate Treatment Certfflcates as each required protective treatment is completed,
provld/ng a copy for the person the permit is issued to and another copy for the building permit tiles the Treatment
Certificate shall provide the product used, Ident/ty of the applicator, t/me 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 barrler method for termite prevention /s 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 = Christ;S soh
772-323-7921.
w e505
• Termite Pretreatment �� fFill A -Buy a
Toll Free: 1-877-365-9990
• Pest Control Termite &
' • Rodent Service Pest
Fax: 772-340-5990
• Fire Ant Lawn Service Control,
Email: Evictabug@gmaii.com
v.:
• Whitefly Treatment Inc.
2373 SW St.
• Licensed & Insured Lic. JB175775
-Woodridge
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 SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
/ANT
DATE OF SERVICE 3 - G — �S TIME <C `�
DEVELOPMENT NAME (w
T�
CONTRACTOR'S NAME
1111� (G>J
ONTACT P� N ') � � . � r r � - `) � I
1-VC 110 jj
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V \ 1
44((--�,
(1-P 5C U 9 Ivc� `
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STRUCTTUdRIr\IE.`AljDRESSII(AALOT``IBLO K) CITY, STATE COUNTY
c� 1 Ne ��-P 6c
GIB 54
NOTES
1� a�, -01c6 c'
ZIP CODE
-��M,� �A
TREATMENT TYPE/AREA
❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY
❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER❑FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT
❑ PLUMBING CUT OUTS ❑ SIDEWALKS
It
❑ TAMP & TREAT �1WVTREAT ONLY I�,FINAL ❑ POOL DECK ❑ OTHER
PRODUCTS /
❑ BASELINE Z` ;DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE 0 PREMISE
❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT IMIDACLAPRID ❑ BIFENTHRIN
❑ DISODIUM OCTABORATE TETRAHYDRATE
/-
CONCENTRATION "
❑ ❑ ❑ ❑ 23% 0 9% ❑ OTHER GALLONS
PPLIED
.06% .12% .25%�05%
SQUARE FOOTAGE LINEAR FOOTAGE �QS
SQUARE FOOTAGE VERIFIED
YES ❑ NO �O\MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET �J
A
CyYES ❑ NO 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 -
El ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
3 11?-
Date
❑ OTHER
Applicator: (Evict A Bug Termite and Pest Control,
Date Customer (Property Owner or Agent)
WWW.evictabugpestcontrol.com