HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT05/18/2018 17:19 FAX 7726922359 FIRST FLORIDAIDEV & CONS
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Bull0ding & Code RegulalVan DOWNSb
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PERM*L. � � ®®q / 3 JOB ADDRESS- 33S
PEST C04PAI` ROL CONTRACTOR: ANGUS TERMITE 8, PEST CONTROL
PEST C0NrrR0L LICENSE *:J 92619
223-9891
[a 003
RECEIVED
MAY-311018
Permitting Department
st. uude County
We, the undersigned, hereby certify ftt we have pretre�ted the above described construction for
subterranean termites in accordance with the standardslof the National Pest Control Association.
Square feet if area treated:
Percentage of solution:
Date of Treatment: Y5 � l r
—
_--. oottng
18t Treatment
Re -Treat
firivev,Jay
Ch IInicals used: �� 7
Total gallons used: � �� r
Time e of Treatment:
i
_Slab
1st Treatment
Re -Treat
Pools
1st Treatment 1st Treatment
Re -Treat Re -Treat
_ Cther - ! i Perimeter for Final inspecion
�Jst Treatment
Re -Treat 16
/1
0i6-cit re of Exterminator ate
/Vote: There must be a completed form for each required treatment or re -treatment and this form must be on the job
site to be plared up by the Inspector at time of each inspection or the scheduled Inspection will fail and a re inspection
fi-e charged.
iFOCA04.2.6 Certificate cf Protective Treatment for prevention of termites A weather resis[antjobsite 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, identify of the applicator, time and date of the treatment, site location, area
ti eated, 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 b eatment shall
be completed prior to final building approval
St Lucie County rrequlires for the final) 5nspectlon few C®, a Permanent Sticker to be placed on
the egertrocW panel box cowdr, listing all the treatments and dates of apPllcat ions.
Revised 7/24/2014
• F-
'
Planning & Development! Services
Building & Code Regulation Division
2300 Virginia Ave;
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 1�o 6 - oq -7 3 JOB
BUILDER/CONTRACTOR:
i
aDDRFS.q- 3 3 q (far; Mpg
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE &jPEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
3LI S-6
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.
S /G
Square feet if area treated: Z Chemic�ls used: BASELINE
Percentage of solution: .06% Total galllons used:
2
Date of Treatment: 3 7 !
Time Of Treatment:
Footing _XIab ��1
1st Treatment _1st Treatment `%
Re -Treat l Re -Treat
Driveway Pools
1st Treatment 1st Treatment
Re -Tr at Re -Treat
Other A,1 � O n Perimeter f Final Ins ection
111 Treatment
Re -Treat
Signature of 6dermiqffor Date
Note: There must be a completed form for each requ/red treatment or re -treatment and thls form must be on the job
site to be picked up by the inspector at time of each Inspectlon or the scheduled inspection will fall and a re Inspectlon
fee charged.
FBC104.2.6 Cerfi6cate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
shall be provided to receive dupllcate Treatment Certificates as each required protective treatment Is completed,
provlding a copy for the person the permit Is Issued to and another copy for the building permit files The Treatment
Cerfficate shall pro vide the product used, identity of the appllcator, time and date of the treatment, site location, area
treated, chemical used, percent concentradon and number of gallons used, to establish a vedflable record of
protective treatment If the soil chemical baffler method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval. i
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.
Kevisea %/Z4/ZU14
/:5VL•4
• Termite Inspection r �� e5u5 Chris
• Termite Pretreatment �® EVICf A
• Pest Control
• Rodent Service
• Fire Ant Lawn Service -
• Whitefly Treatment
tisq ; 72-323-792,1
-Buy Toll Free: 1-877-365-9990
Termite & Fax: 772-340-5990
Pest
Control, Email: Evictabug@gmail.com
Inc.. 2373 SW Woodridge St.
Licensed & Insured Lic. JB175775 Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANtTT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
'DATE OF SERVICE 1 TIME /0 f O O r
ENT NAME (PROJECT) I CONTRACTOR'SPME CONTACT PERSON
STRUCTURE ADDRESS (LOTIBLOCK)
CITY STATE, ZIP DE
�
COUNTY j-f -. I w Gj e.
�I ( -
NOTES
5/c l :V--i-mM-)m,
3u 95o,
TREATMENT TYPEIAREA
N
❑ FLOATING �t MONOLITHIC ❑ PATIO
❑ GARAGE ❑ DRIVEWAY
❑ STEM WALUFOOTERS
❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT
❑ PLUMBING CUT OUTS
❑ SIDEWALKS
.S&MP.& TREAT ElTREAT ONLY ❑ FINAL
6PRODUCTS
❑ POOL DECK ❑ OTHER
BASELINE ❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE
❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
4.06% ❑ .12% ❑ ..25% ❑ .05%
SQUARE FOOTAGE 7 Z Ile
❑ IMIDACLAPRID��IFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED D
LINEAR FOOTAGE
/.SQUARE FOOTAGE VERIFIED ��MEASURED OR VERIFIED PER PLANS MAR / 9 2017
.19,YES ❑ NO
.JOB READY CONDITIONS MET
bjYES ❑ 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
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service. ,I
3 / )
Date Applicator: (Evict A Bug Termite and Pest Control, Inc.
Date
Customer (Property Owner or Agent)
www.evictabugp6stcontrol.com
• Termite Inspection C((� 5� c ris* "- 2-323-7921
•Termite Pretreatment �� � �q. � b . � � '• � .�-_""�- - •-
Pest Control -� EVICt-ABU¢-: Toll Free:1-877-365-9990
Termite & Fax: 772-340-5990
Rodent Service *Pest :..► .
Fire Ant Lawn Service _ - :Control, CAN Email: Evictabug@gmail.com
.• Whitefly Treatment w Inc. �� 2373.SW Woodridge St.
• �'�. JB175775
Licensed &Insured �� �,� �Be c®�� 9
Port St. Lucie, FL 34953
1ST "13 Notice of Preventative'Treatment for Termites
(as required by -Florida Building Code (FBC) 104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE('ANT SERVICE I TERMITE SERVICE •I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE l"G — ` ! TIME —
ELOPMENT NAME (PROJECT) CO RACTOR N ME I CONTACT PERSO �
STRUCTURE ADDRE�S.(LOTIBLOCK) V CITY, STATE, ZIP 0 D COUNTY
7� C_(f _-7 ft(�10
NOKS,
TREATMENT TYPE/AREA
❑ FLOATING
MONOLITHIC
❑ CUTOUTS
❑ FOOTER
9," " t & TREAT
❑ TREAT ONLY
PRODUCTS
BASELINE
❑ OTHER
ACTIVE INGREDIENT
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
i
13 FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑SIDEWALKS
❑ FINAL ❑ POOL DECK ❑ OTHER
❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ IMIDACLAPRID, d IFENTHRIN
CONCENTRATION
(7:06% ❑ .12% ❑` .25%
❑ .05% ❑ 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE t
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
i❑ YES ❑ NO
1111ifff
15-16EASURED OR VERIFIED PER PLANS it
_.�
F
JOB READY CONDITIONS MET
OES ❑ NO
-DETAILS
❑ DISODIUM OCTABORATE TETRAHYDRATE
GALLONSAPPLIED =s Z
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
lJ~
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
/ �_ 7 "/ I
Date
Date Customer
I / Z7-1—
and Pest<Con
,gent)