HomeMy WebLinkAboutBlack and White15140$t I,
Planning & Develc
Building & Code Re
2300 Virgi
Fort Pierce,
772-462-2172 Fa,
CERTIFICATE OF T
. CONSTRUCTION
PERMIT OAXI - _),B
BUILDER/CONTRACTOR.:
PEST CONTROL CONTRACTOR: Jkl
PEST CONTROL LICENSE #: -a%
�Sy
P,ment Services
ulation Division
ia Ave
L 34982
772-462-6443
TE TREATMENT
TREATMENT
We, the undersigned, hereby certify that we hpvll pretreated the above described construction for
subterranean termites in accordance with the SIM dards of the Notiona P Control Association.
Square feet if area treated: Chemicals used: b22
Percentage of solution:' Total gallons used: (q-dP/e
Da!te�of �Trment: 3—W—tb Time of Tr tment: -1, d LU
Footing Slab >
L-�Treatment
Tr�eaent LU
—Re-Treat Re -Treat
Driveway. ___.p7ools C&
Treatment reatment LU
.Re -Treat R - reat
—Other Pedme r Fi pe n
11 Treatment Mzr
.Re -Treat
ignature of rminator
u
Note Mere must be a completed form for each requIred or ent and form must be onthajob
v' V ;n orell7t
s1te to be plaed up by the thso&Wr at hime'of each Inspec or the scheduled Inspecdon W11 fall and a -r&1174wcbbn
fee charged.
FBC 104.2.6 Celfiftate of Protective Treat�nent forprevendonof termftes. A weaffier re!dkta I ntJobsile posting board
shall be provIded to rxeive dupllbate Thea"ent c0wftates as each requAradprotetffMa trea&?Wt IScompleted,
pro vIdIng a copy for the plerWnffie permit is Imued to and another copy for the bidlo7ng pennit files. The Treaftnent
Cediftate shall pro v1de the product used( Identity of Me appllcalor, fte and date of the treatment, site locatfon, area
treated, d�emkal used, percent a�� and number ofgallons used, to establIsh a verffiable record of
pro1ecdw&eabmnt. Nthe, solfchemkq�haniarmetfwd for tennite prevandon Is used, Mal ekistior bwbnent shall
be completed pr1or to flnal bulldlnq approval
St Lucia County requires for the/iinal Inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
e Termite Inspection Chrisj is 72-323-7921
- Termite Pretreatment fflet-A- Toll Free: 1-877-365-'9990
0 Pest Control 11
- Rodent Service Termite & Fax: 772-340-5990
Re�t
- Fire Ant Lawn Service C dn It 11 Email: Evictabug@gmail.com
JI C.
- Whitefly TreatmMt Lic. JB175775 2373 SW Woodridge St.
- Licensed & Insured Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 16�.26 and Broward County Chapter FBC 105.2.2)
1
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVIC� I I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE (0' TIME
DEVELOPMENT NAME (PR JECT CONTRACTOR" S NAJE T CT PE SON
c A OgT 71,
STRUCTURE ADDRES9 (LO*T/BLO*bK) CITY St, E ZIP CODE OUNTY
e r I , CA
NOTESf-,
V45)v tAA -4 kloo )l —(o XA-<<
TREATMENT TYPE/AREA
El FLOATING @(YONOLITHIC El PATIO EIGARAGE E3 DRIVEWAY El STEM WALUFOOTERS LJ AD , DITION
LJ CUTOUTS 13FOOTER El FRONT ENTRY El RETREAT BORA CARE TREATMENT Ll PLUMBING CUTOUTS C3 SIDEWALKS
V-T�Mp & TREAT Ll TREAT ONLY LJ FINAL CIPOOLDECK i E]OTHER
PRODUCTS
(9�BASELINE ;
Ll DOMINION 2L ACTIVE INGREDIENT
El TERMIDOR SC U BORACARE El PREMISE
Ll OTHER
ACTIVE)NbkEDIENT
--
— E]IMIDACLAPRID-L^FENTHRIN El DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
-10
� 6% E3.12%
LJ .25%
E3.05% El 23%
119% LJ OTHER GALLONS APPLIED
-;;7-11
6�
1
SQUARE FOOTAGE
. --')P
1,
LINLAR FOOTAGE
SQUARE FOOTAGE VERIFIED
S
E3 NO
6-1d-MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
&1VES
El NO
DETAILS
As per 104.2.6 FBC - If soil chemical barrier method for termite prevention is used. Final exterior tj
Certificate of Compliance: The building has received a complete treatment for the prevention of
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
El ELECTRICAL PANEL EJ WATER HEATER L30THER
Payment Terms: Payment due at time of service..
Date A��icator: (Evict A Buq
tie<it-e'and Pest
Date
bmer'(�,roperty Owner or Agent)
shall be completed prior to final building approval.
ean termites. Treatment is in accordance with rules and laws established