HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 8-22-18Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATH
CONSTRUCTION SOIL TREATMENT
AUG 222018 "�t7
Permitting DeParb-nent
T�.ucie C cunt,, FL
—__
PERMIT #: P111 -0 JOB ADDRESS: f�rP�l4�
BUILDER/CONTRACTOR: Ce, L,/,p?:�'
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: L& O
Percentage of solution:.05%
Date of Treatment: !c'Tg
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: l3c7
Time of Treatment: %-'O d
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
r for Final
of F_xtefminator 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
Termite Inspection 5LJ5 Christ is for . 72-323-7921
• Termite Pretreatment �® fuict-A-Bug a Toll PH: 1-817 385 0889
• Pest Control �E Termite � feX:112-340-5990
• Rodent Service � Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment lnc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. 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 I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE �C�fT� �� TIME
JokitJ 194"�Ji! l a
(LOT/BLOCK)
CONTRACTOR'S NAME I CONTACT PERSON
CITY,
COUNTY,—,
NVTE
�
�'
Z� ODE
TREATMENT TYPE/AREA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO ❑ GARAGE ❑ DRIVEWAY
❑ STEM WALUFOOTERS Cl ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT
❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT p4ZEEAT ONLY FINAL ❑ POOL DECK ❑ OTHER
C/ ) 4
PRODUCTS
❑ BASELINE 011QOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
P�IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .1% ❑ .12% ❑ .25% g-�5% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED /, O
SQUARE FOOTAGE LINEAR FOOTAGE ` 6a
SQUARE FOOTAGE VERIFIED
YES ❑ NO
JOB READY CONDITIONS MET
07M ❑ NO
ASURED 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 Departure-` _r �___..___ �__.:___ :J_
If this notice is for the final exterior treatment
FINAL STICKER
❑ ECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
Date
www.evictabugpestcontrol.com