HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 4-18-18SCANNED
BY
-St Lucie County
Planning & Development Services
Building & Code Regulation Division
COLINTY 2300 Virginia Ave
• I D A Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:
BUILDER/C
PEST CO
PEST CONTROL LICENSE #: JB175775
RECEIVED
APR 1 9.7018
Permitting DepartmLrj,
St. Lucie County
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:S ?
Percentage of solution:.05%
Date of Treatment:
Footi
1st Treatment
Re -Treat
Driveway
Chemicals used: DOMINION 2L
Total gallons used: 310)
Time of Treatment:
� ; OU'
—C—Slab
1st Treatment
Re -Treat
Pools
F-L
1st Treatment 1st Treatment
Re -Treat Re -Treat
Other Perimeter for Final Inspection
1"t Treatment
Re -Treat / 9 1�
Enre of Exterminator ate
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
• T&rnite Inspection es05 Christ is for T72-323-7921
• Termite Pretreatment �® EVICT -A-Bug Toll Free: 1-877-365-9990
• Pest Control " Termite 8 YFax: 772-340-5990
• Rodent Service ,�. Pest Email: Evictabug@gmail.com
• Fire Ant Lawn Service - Control,
• Whitefly Treatment Inc. 2373 SW Woodridge St.
• Licensed & Insured Lic. JB175775 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 FIREE(ANT SERVICE I t TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE L( ! I a Q TIME ! 0 -3 C)
DEVELOP ENT NAME (PROJECT) CO RACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, ST TE COUNTY
0 F0 P,
NOTES ZIP CODE
06 1 t; kpw-4 q ALC)LIL
I KLAI MLN I I TYt1AKLA
❑ FLOATING
LIMONOLITHIC
❑ PATIO
❑ GARAGE ElDRIVEWAY
ElSTEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
"TAMP & TREAT
❑ TREAT ONLY
❑ FINAL
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
&DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
1:6IMIDACLAPRID ❑ BIFENTHRIN
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .12%
❑ ..25%
l;*5% ❑ 23%
❑ 9% ❑ OTHER
GALLONS APPLIED 32 a
SQUARE FOOTAGE
_ LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
b YES ❑ NO MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
YES ❑ 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.
5
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
L d
Date
Date
"'Applicator: (Evict A Bug Termite and Pest Control, Inc.)
Customer (P,roplerty Owner orAoent) / W
0
www.evictabugpestcontrol.com