HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 8-1-18SCANNED
BY
St Lucie County RECEIVED
Planning & Development Services
Building & Code Regulation Division AUG 0 12018
Z"OOUNTY 2300 Virginia Ave sT. Lucie county, Permltting
• Fort Pierce, FL 34982 y
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: Hol ` t O I JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: E CT -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: ,2 0 L. F 4- 90 s-K
Percentage of solution: .05%
Date of Treatment: � L v h Y
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Tres
�_Other 6_7&
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 11'/ 0
Time of Treatment: & 2 O
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
R -Treat
Perimet for Final Inspection
AIN
i r of
F�cterminator Date
M_
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 g5u5 Christ is for 772-323-7921
• Termite Pretreatment �® MCPA-Bug a r Toll free: 1-877-385-9999
• Pest Control f Termite & faX:11�-340-5990
• Rodent Service �� Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 429ralmCl
• Licensed & Insured Lic. JB175775 , FLNotice of Preventative Treatment for TermitesG p 1 2018
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapte.2)
PEST PREVENTION qqI / FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REM a�flRerTrrrj�T
DATE OF SERVICE / J I TIME 10
DEVELOPMENT NAM (PROJECT) 500
NTRACTOR' NAME F-;tj)
TACT PERSON
�y��P,cr P 0 - �2n � PLf -2 2 122 G x K-2
STRUCTURE ADDRESS (LOT/BLOCK) (I �7 .� CITY, STATE/COUNNTY—, /
0 ! .S/ I /Ps' oak V rG'r� Llle;�-c -C 9) rt,vt�t C' P
NOTES g "'q -f ZIP CODE
kl'-Itit WO►vba5?2
TRFATMrMT TVPF/ARFA �J
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE g DRIVEWAY ❑ STEM WALLIFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT
TREAT ONLY
,�] FINAL
V
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
v 13'IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
E1.06% ❑ .1%
❑ .12% ❑ .25%
U .05% El23%
❑ 9% ❑OTHER 1 Ja
SQUARE FOOTAGE
c,
/t (9
GALL^ONSAPPLIED
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
YES ❑ NO
JOB READY CONDITIONS MET
YES ❑ NO
MEASURED OR VERIFIED PER PLANS
r —_-
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 Se ices. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line j
FINAL STICKER
ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER \
Payment Terms: Payment due at time of service.
�nuunmu,„„
!� °
Date cator: (EvictA Bug Termite and Pest Control, Inc.)
Date
www.evictabugpestcontrol.com