HomeMy WebLinkAboutCERTIFICATE OF TERMITE TRREAMENT 11-4-18i
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Planning &Development Services
Building & Code Regulation Division
• 2360 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE
CONSTRUI
PERMIT #:J 90,5- 03-COJ06
BUILDER/CONTRACTOR: Hob
PEST CONTROL CONTRACTOR: Ey
PEST CONTROL LICENSE #: JB175775
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pet sttuu D C0u ment �
F TERMITE TREATMENT
ON SOIL TREATMENT
DRESS: ���✓�sQ���a�'�L
-A-BUG TERMITE & PEST CONTROL INC.
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: O L
Percentage of solution: .05%
Date of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
-2019
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
Slab
I L5
1st Treatment
Re -Treat
i Pools
1st Treatment
Re -Treat
I Inspection
1't Treatment n
Re -Treat ( of /7
igna a of Exterminator Date
i
Note: There must be a completed form ror 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,llisting all the treatments and dates of applications.
Revised 7/24/2014
• TenitIb nspection eSUs ChIrist is.�Or 772-323-7921
• Termite Pretreatment EVICt--A-Bug a Toll PH:1-811-315-9999
• Pest Control Termite & FBI.772-349-5998
• Rodent Service Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. �a1�s7�5 I Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6, 105.10 & R318.1 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE I TERMITESERVICE I R%JODDEN�T�EXCLUSSION�j& �RREMOVVAAL�% I WHITEFLY TREATTMMENT
DATE OF SERVICE TIME �! f I ! G'?f /y'/,�,�{' � J5 D / •{�i�iliL i 6�l.f n � � e r �°!i C.�'
(PROJECT)
STRUCTURE ADDRESS
NOTES
CON CT PERSON
�� "'t z pry
STATE COUNTY
ZIP CODE
TREATMENT TYPE/AREA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE ElDRIVEWAY ElSTEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
ElRETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT
] TREAT ONLY
v\
FINAL
I
❑ EC POOL DK ❑ OTHER
PRODUCTS
❑ BASELINE
kJ DOMINION 2LACTIVE
INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
i
ACTIVE INGREDIENT
a IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE +
CONCENTRATION
Z
❑ .06% ❑ .1%
❑ .12% ❑ .25%
.05% ❑ 23%
❑ 9% ❑ OTHER GALLONSAPPLIED
�a
SQUARE FOOTAGE
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
'O YES ❑ NO
JOB READY CONDITIONS MET
❑ YES ❑ NO
V❑ MEASURED.OR VERIFIED PER
I'Certificatelof Compliance"
As per l04.2.6, 105.10 & R318.1 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 ice . (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
'C7TELECTRICAL PANEL El WATER HEATER ❑OTHER
Payment Terms: Payment due at time of service.
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)/f [/�J, // /✓n/� '441tiAbPfJr
Date Applicator (Evict A Bug Termite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com