HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TERMITE TREATMENTi
Termite Inspection w'^ e5�5 Christ's dot T 72-323-7921
• Termite Pretreatment ffiet-A-Bug a Tull free:1-811-385-9998
•Pest Control grANNED Termite & fit 72-349-5998
• Rodent Service BY Pest
• Fire Ant Lawn S rvice Control, Email: Evictabug@gmail.com
• Whitefl Treatment �o�nty i Inc. 4293 SW High Meadows Ave.
Y
• Licensed & Insured Lic. JB175775 _i 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)
PESTPREVENTION I FIRiiE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE J0 TIME G 7 I
D ELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) I CITY, STATE COUNTY
'363 N, I A F orT S1 c
�+ [ ! ZIP CODE �`
NOTE?�ft iti r '6c 7 •.. ist 1tti �1 C�i ) Cry Gi Ci ? t
TREATMENT TYPEIARFJI
❑ FLOATING MONOLITHIC ❑ PATIO GARAI E ❑ DRIVEWAY ❑ STEM WALLIFOOTERS XADDITION
I
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑•TAMP & TREAT REAT ONLY ❑ FINAL ❑ POOLIDECK ❑ OTHER
PRODUCTS I
❑ BASELINE DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER \
ACTIVE INGREDIENT AM IDACLAPRID EllBIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .1% ❑ .12% ❑ .25% )(05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED
;t Q
SQUARE FOOTAGE 5 � I LINEAR FOOTAGE
I
SQUARE FOOTAGE VERIFIED RECEIVED _
RYES ❑ NO )( EA OU E_D OR VERIFIED PER PLANS �U' 1- U / O
"��` J U N 2 5 2018
JOB READY CONDITIONS MET ST. Lucie County, Permitting
X�ES ❑ 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.
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 coP •
PlIzE
s •
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER ' 3
Payment Terms: Payment due at time of service. '4
} jiJ� ii
1
Date Applicator: (Evict ABug;Termite and Pest Control, Inc.)
Date
e I� S
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com
QJ
f-
Planning & Development Services
A, Building & Code Regulation Division
2300 Virginia Ave
f Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
PERMIT # : %0S-02 `0' JOB A
BUILDER/CONTRACTOR: �4 .0 , D_
PEST CONTROL CONTRACTOR: EVICT
PEST CONTROL LICENSE #: JB175775
We, the undersigned, hereby certify that we I
subterranean termites in accordance with the
Square feet if area treated: 6'�0
Percentage of solution: .05%
Date of Treatment: 6 l
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
N SOIL TREATMENT
3 LNYI
C2 Dj Rart -'e S
TERMITE & PEST CONTROL INC.
pretreated the above described construction for
dards of the National Pest Control Association.
Chemicals used: DOMINION 2L
Total gallons used: t1 5
Time of Treatment: lG , O
)(Slab
:jKlst Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Re -Treat bi —A-5 `1-6
Si nature of Exterminator 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 eachl inspection or the scheduled inspection will fail and a re inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatmentfo
shall be provided to receive duplicate Treatment G
providing a copy for the person the permit is issues
Certificate shall provide the product used, identity i
treated, chemical used, percent concentration and
protective treatment: If the soil chemical barrier n
be completed prior to final building approval.
St Lucie County requires for the final insl
the electrical panel box cover, listing all I
Revised 7/24/2014
Prevention of termites A weather resistant jobsite posting board
ificates as each required protective treatment is completed,
o and another copy for the building permit Arles The Treatment
the applicator, time and date of the treatment, site location, area
rmber of gallons used, to establish a verifiable record of
`hod for termite prevention is used, final exterior treatment shall
:ion for CO, a Permanent Sticker to be placed on
treatments and dates of applications.