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HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 1-11-19NNEQ Planning & Development Seces CA rviBuilding & Code Regulation Divisio �y �CEIVED 2300 Virginia Ave 'r e � ir— C'01jN Fort Pierce, FL 34982 ]AN 11169 772-462-2172 Fax 772-462-6443 Permitting Department' St. Lucie Cnunt" CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: I �nZ -fq'-' JOB ADDRESS: q�06_ 2 0vesr Ph c BUILDER/CONTRACTOR: jz. Q 66n5fruol-eo/) 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: 5-d Chemicals used: DOMINION 2L Percentage of solution: .05% Total gallons used: ) 00 Date of Treatment: I © `t q Time of Treatment: W- 3 0 Footing 1st Treatment Re -Treat Driveway 1st Treatment Re -Treat Other 1st Treatment Re -Treat Slab 1st Treatment Re -Treat Pools 1� Treatment -Re-Treat Perimete for Final Inspection Ignature A taerminator 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 charged. 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. 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 -iJerffilte Inspection - Je5Us Christ is Cora 2-323-7921 Termite Pretreatment Me -Buy loll fPH:1-B77-365-9990 • Pest Control Termite & fBX:11Y-340-5990 - Rodent Service Pest • Fire Ant Lawn Service - Control, Email: Evictabug@gmail.com • Whitefly Treatment Inc. 4293 SW High Meadows Ave. • Licensed & Insured ��� J6175775 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 JI TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT DATE OF SERVICE ! ' 10 ! TIME / O DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSOAN �j y "S `�//S/ �+ ve / / —Jam/ STRUCTURE ADDRESS (LOTIBLOCK)�j CITY, STATE COUNTY ®� h• ►^ d% C� /��S'c. �. �os^� �7.^rrlY:P_ ��•/loci' _ NOTES ® �'Z ZIP CODE TREATMENT TYPE/AREA ❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION ❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS ❑ TAMP & TREAT ❑ TREAT ONLY jr*INAL ❑ POOL DECK ❑ OTHER PRODUCTS ❑ BASELINE ❑ OTHER ACTIVE INGREDIENT CONCENTRATION ❑.06% ❑.1% SQUARE FOOTAGE_ C/DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR �34MIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE ❑ .12% ❑ .25% P'.05% ❑ 23% ❑ 9% ❑ OTHER SQUARE FOOTAGE VERIFIED , YES ❑ NO JOB READY CONDITIONS MET OC YES ❑ NO /MEASURED OR VERIFIED PER PLANS DETAILS GALLONS APPLIED /C:�54Z9 LINEAR FOOTAGE 2so 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 Cons eemer/SServices. (Per the Florida Building Code.) If this notice is for the final exterior treatment, initial and date this line �L' FINAL STICKER ,#ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER Payment Terms: Payment due at time of service. 0 0 Date Date Affilcator: (EvictA/8ug Termite and Pest Control,.Inc.) Customer (Property Owner or Agent) www.evictabugpestcontrol.com