HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 1-21-14f
::.�..,... , ,Planning & Development Services
J.
' - Building & Code Regulation Division
2300 Virginia AveEW Fort Pierce FL 34992
MEMIMMSM 772-462-2172 Fax 772-462-6443
CERTIFICATE OF
CONSTRUCTIC
PERMIT #: / 301f17 '37 OB
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: r
PEST CONTROL LICENSE #: ;"tci
We, the undersigned, hereby certify that we have
subterranean termites in accordancewith the star
Square feet if area treated: L .
Percentage of solution:
Date of Treatment, -
Footing
1' Treatment
Re -Treat
-Driveway
1s` T
:RMTTE TREATMENT
SOIL TREATMENT
SCANNED
BY
St Luel'p rmunty
�iG � � },S' O
0/t/4 i-,��.i�-T 1 o �v Z,C :,'c CC-,f,
S l UC r
gated the above described construction for
of the National Pest Control Association,
nicals used:'�'�
I gallons used:
Of Treatment:I�'%
1" Treatment
Re -Treat
Re-T Eatment 1� Treatment
Other Re -Treat
15t Treatment
Perimeter for Final Inspection ,�
�
Re -Treat '--"
Signature of Exterminator
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 insae�ion or the scheduied inspection will fail and a re -inspection
fee charged. i
i •
Fi3+c 144.2.E C@/tiiTCate of protective Treatment for preven67 of termites A weather resistant jabsile posting board
sha/I be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
Providing a copy for the person the permit 4F issued to and another copy for the building permit fries The Treatment
Certificate sha/!provide the product used, identity orthe appilcator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical bamler method for termite prevention is used, final exterior treatmentsha/! be completed prior to final buildng approval,
St Lucie County requires for the final inspection Ifor CO, a Permanent Sticker to be placed on
the electrical panel box cover, fisting all the treatments and dates of applications.
RECEIVED VU 19 614
l•'d 6L£6-9££-7,LL saoiniag uoi}ono}suoC aup
t)l'c- -30`f-co-. 0`1
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Licensed & Insured
C
e s Christ is for
SU .i p 772-323-7921
��I1Ct•A-B!!g
° Termite
f2x:11Z-�40-�990
& Pest
Email: Evictabug@gmail.com
Control
I.Liinc.
1 `'" ...
2373 SW Woodridge St.
Lie. JR175776
Part St. Lucie FL. 34953
Notice of Prever tative Treatment for Termites
(as required by Florida Building Code (FBC)104.26 and Broward County Chapter FBC 105.2.2)
PEST PREY NTION I f AFIRE ANT SERVICE I I TERMITE SERVICE I RODENT EXCLUSION $ REMOVAL
DATE OF SERVICE T TIME
DEVELOPMEN T NAME (PROJECT) CONTRACTOR'S NANi,- , CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) y CITY, STATE, ZIP CODE `COUNTY
NOTES
TREATMENT TYPEIAREA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO ❑ GARAGE
Q DRIVEWAY 4 STEM WALL ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY ❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS
❑ TAMP & TREAT
TREAT ONLY
FINAL ❑ POOL DECK
❑ OTHER
PRODUCTS
BASELINE Q DOMINION 2LACTIVE INGREDIENT ABIFENTHRIN ❑ TERMIDOR TC ❑ SORACARE
❑ OTHER
ACTIVE INGREDIENT ❑ DISODIUM OCTABORATF TETRAHYDRATE
CONCENTRATION
[�" W% ❑ .12% ❑ .25% ❑ -05% O 23% ❑ 9% MOTHER GALLONS APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE 3c- o
SQUARE FOOTAGE VERIFIED
Q YES ❑ NO
❑ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
❑ YES 13 NO
DETAILS
As per 104.16 FBC- It soil chemical barrier method for termite prevention is used. Fire[ 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 t .e Florida Build ing Code.) (.z
If this notice is for the final exterior treatment, initial and dale this line_6 1 f
NALSTICKER
ELECTRICAL PANEL .0 WATER HEATER Q OTHER
Payment Terms: Payment due at time of service,
Cate
Date
Z•d
Applicator (EvictABug Termite: and Pest Controi, c.)
Customer (Draparty Owner or Agent)
6L£6-9££-7,LL seoiAaeS uoi}ona}suoo euo