HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPERMIT #:=
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTO
BY
St Luriprinlen¢
Ppenning & Development Services
Suflding & Code Iltegugaltion Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Pax 772-462-6443
WIFi 1710;0 E �"'_i•r1!
CONSTRUCTION SOIIL►, 7REATME `NT
DRESS: 9 A
-A-BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB1767751 _
VVe, 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: gLc-xo S.N z
Percentage of solution: •05%
Date of Treatment: 10—' �` ,)
Footing
1st Treatment
Re -Treat
Driveway
15t Treatment
Re Treat
Other
11t Treatment
Re -Treat
Chemicals used: DOMINIO L
Total gallons used: b
Time of Treatment: a"
lab1�
Gei 1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
,,�—Pe'eter for Final Ins ection
Signature of Exter for Date
(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 picked up by the Inspector at time of each Inspection or the scheduled Inspection wlli fall and a re-inspectlon
fee charged.
FBC104e2.6 Certificate of Protective Treatment for preventlon of termites A weather resistant jobslte posting board
shall be provided to receive duplicate Treatment Certificates as each requlred protective treatment Is completed,
providing a copy for the person the permit is issued to and another copy for the bullding permit tiles The Treatment
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment, s/te locatlon, area
treated, chemical used, percent concentratlon and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite preventlon is used, final exterior treatment shall
be completed prior to final bullding approval.
St Lucie County requires for the ffinM inepection for C®, a Permanent Sticker to be placed on
the epectricaO panel box cover, 1111sting epp the treatments and dates of applications.
Kovisod 7/24/2014
BY
Planning & D 1Q'nAQ-tYS1 vices
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982 Leo
772-462-2172 Fax 772-462-6443
gAR%0"i9 .
CERTIFICATE OF TERMITE TREATMENTPerMitfing part year
CONSTRUCTION SOIL TREATMENT St. Lucie
PERMIT #: /9s®�-cif9 JOB ADDRESS: /0/3�T
BUILDER/CONTRACTOR: � C►�i;��
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
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:
Percentage of solution: -1W -a-Y e
Date of Treatment: 1-0-1
Footing
1st Treatment
Re -Treat
Drivewa r�
ist Treatment
d / Re -Treat
V Other
1st Trea ent
Re -Treat
Note: There must be a completed form for each req
site to be picked up by the inspector at time of each
fee charged
Chemicals used: BASELINE
Total gallons used:
Time of Treatment: 1 �7o-d
IaS b
1st Treatment
Re -Treat
Pools
1st Treatment
for Final I
PAUL LUGARA
of,Ext&(ninator Date
neodre-treatment and this form must be on the job
or tffe scheduled inspection will fail and a re -inspection
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, listing all the treatments and dates of applications.
Revised 7/24/2014
` Christ i
'i Termite Inspection 5�15 s for "72-323'-792 ■
• Termite Pretreatment �® fdet-A-Bug a T011 free:1-811385-9999
• Pest Control U Termite $ fak 772-348-5999
• Rodent Service Pest
• Fire Ant Lawn Service - Control, Email: Evictabug@gmaii.com
Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. JB175775 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)
PEST PREVENTION Icy FI 6RE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE I ' / t TIME -
DEVELOPMENT NAME (PROJECT)
0 TRACTOR'S NAME
C TACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK)
CITY, ST/A E
( (�
COU TY p
NOTES
(vf— VA4 ti f
V'I
ZIP CODE �~
-2,L4 C �d J
TREATMENT TYPE/AREA�� I 6 a
lg
ElFLOATING ElMONOLITHIC ElPATIO
❑ GARAGE ❑ DRIVEWAY
❑ STEM WALL/FOOTERS' ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT
OUTS ❑ SIDEWALKS
❑ TAMP & TREAT r4TREATONLY /G301r:INAL
❑ POOL DECK ❑ OTHER �A—
101), TRIM k
PRODUCTS
❑ BASELINE MRMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
IMIDACLAPRID_ ❑ BIFENT.HRIN- ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .1% ❑"n12% ❑ .25% 005% ❑ 23% ❑ 9% ❑ OTHER.
SQUARE FOOTAGE
SQUARE FOOTAGE VERIFIED;,
ES ❑ NO Q MEASURED OR VERIFIED PER PLANS
JOB READY.-CONbIITIONS MET
YES ❑ NO DETAILS
� L
GALLONS APPLIED
LINEAR FOOTAGE =3,U
-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 Departme
If this notice is for the.final exterior treatment,
FINAL STICKER
�O�ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
Date
c
Date