HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT1
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UNTY
IV 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: J0
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: f
PEST CONTROL- LICENSE #: -J'Q
We, the undersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance Lwjth the standards of the National Pest Control Association.
Square feet if area treated: 300 Chemicals used: ��S Q)
Percentage of solution: Total gallons used: /
Date of Treatment: 7 z 6 - 1,6
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Time of Treatment:• E L/
Slab
1't Treatment
Re -Treat
Pools
V Treatment
�/ Re -Treat
,e . Perimeter for Final Inwection
Signature of Exterminato
Note. There must be a completed form for each required treatment orre-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 wi/i fail and a re -inspection
fee charged. I
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 Treabnent
Certificate shallprovide 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 venfrable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatmentshall
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 o(applidations.
SCAN
BY
IMP MP f"flliO?
Planning & Development Services
Building & Code Regulation Division
2301D Virginia Ave
Fort Pierce, FL 34982
772462-21721 Fax 772-462-6443
i
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: IS Oc►' 0\ JOB ADDRESS: IQueen �o PwrG2 3Ltg4c�
BUILDER/CONTRACTOR:
PEST CONTROL. CONTRACTOR: - '�
PEST CONTROL. LICENSE #:
We, the undersigned, hereby certify that we I
subterranean termites in accordance with the
Square feet if area treated: 10b
Percentage of solution: , 0(o
Date of Treatment: gL-S't 6
,K-FoTfing
1't Treatrneryt
Re Treat
Driveway
£ 1� Treatment
Re Treat
Other
Is' Treatment
Re -Treat
pretreated the above described construction for
dards of the National Pest Control Assodation.
Chemicals used: &M
Total gallons used: I) -
Time of Treatment: / 0, Y O
Slab
V Treatment
Re -Treat
Pools
1-%' Treatment
Re -Treat
Perimeter for Final Inspection
6TJ
sign re o rminator
(Vote: There must be a completed form for each required treatment orre-treaimentand this form must be on the job
site to be picked up by the Inspector at time of each inspectlon or the so eduled Inspection will fail and a •re -Inspection
fee charged. '
FBC104.2.6 Certificate of ProtecdW Treatment for prevention of termites A vimtherresistantiobsite pasting board
shall be provided to receive duplAwte Treatment Certificates as each required protective, treatment Is completed,
providing a copy Mr the person the permit is issued to and another copy for the bulldin 'pemut files The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the }reatment, site location, area
treated, dremical used, percent concentration and number ofgallons used, to establish a verifiable record of
protecdVa treatment: If the soil chemical barrier meftd for termiteprevenbon & used, final=exterior owtmentshalI
be completed prior to final building approval.
St Lucile County requires for the final inspection for CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing allthe treatments and dates of applications.
Put
St. Luc.
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
- Whitefly Treatment
77 323-7921
Toll Free: 1-877-365-9990
Fax: 772-340-5990
Email: Evictabug@gmail.com
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 ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE D- �,-1 k, TIME 10,3o
DF�/�OPMENT NAME (PROJECT) �` �IT 5� � ME ���� (�c�ars CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE, ZIP CODE �C°° 1111 COUNTY
NOTES
TREATMENT TYPEIAREA
❑ FLOATING MONOLITHIC
❑ CUTOUTS �FOOTER
❑ TAMP & TREAT )1 TREAT ONLY
❑ PATIO ❑ GARAGE
❑ FRONT ENTRY ❑ RETREAT
❑ FINAL ❑ POOL DECK
❑ DRIVEWAY ❑ STEM WALUFOOTERS )IADDITION
❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ OTHER
PRODUCTS
7�ASELINE ❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ IMIDACLAPRIDXBIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
�406% ❑ .12% ❑ .25% ❑ .05% ❑ 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE ~ ^'
SQUARE FOOTAGE VERIFIED
1 t YES ❑ NO
JOB READY CONDITIONS MET
'*ES ❑ NO
MEASURED OR VERIFIED PER PLANS
DETAILS
GALLONS APPLIES O� � L
LINEAR FOOTAGE
F z
Public: ti
St. Luci
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.
0-TA(
Date Applicator: (Evict/ Bug Tyr id and Pest Control, Inc.)
Date Customer (Property Owner or Agent)
Termite Inspection e5u5 Christ is �'or „ '72-323-7921
• Termite, Pretreatment �® EVICT A -Bug Toll Free: 1-877-365-9990
• Pest Control SGA1414W . Termite &. Fax: 772-340-5990
• Rodent Service . � °. Pest :
Fire Ant Lawn _�Y +; Control, Email: Evictabug@gma'il.com
1V1%(%r,� r Inc.
• Whitefly Treatment 2373 SW Woodridge St.
• Licensed & Insured Lic. JB175775 Port St. Lucie, FL 34963
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 [�FIRE(/ANT SERVICE I TERMITESERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE " W TIME \
DEVEL PMENT NAME (PROJECT) CONTRAC S NAf3� CONTACT PERSON
`. §TRUCTURE ADDRESS (LOT/BLOCK) I CITY, STATE, ZIP ODE COUNTY
? f
NOT • S
:TREATMENT T'PE/AREA
❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE ❑'DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOIOTER ❑ FRONT ENTRY I ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP ,& TREAT ,C TREAT ONLY . �eINAL ❑ POOL DECK ❑ OTHER
PRODUCTS - ;
ASELINE ❑.DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT ❑ IMIDACLAPRIIYj�3IFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION ;
i'�KJ6% , ❑ .12% ❑ .25% O .05%0 ❑ 23% ❑ 9% ❑ OTHER GALLONjgPLIED
' SQUARE FOOTAGE LINEAR FOOTAGE a
SQUARE FOOTAGE VERIFIED
G1
1ES ONO AEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
ES LINO 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 r
r _Et.ECTRICAL PANEL. ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
Z i Zi
Date Applicator: (Evict A Bug Termite and Pest Control, Incl
Date Customer (Property Owner or Agent)
www.evictabugpestcontrol.com