HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT;,
1
SUANNLO
Planning & Development Services
Building & Code Regulation Division
a
2300 Virginia Ave
• . Fort Pierce, Fl. 34982
,............-. 772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMrT 03g4.(( JOB ADDRESS: )Q2Ol S• cce*j b cf
BUILDER/CONTRACTOR: f
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
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: Chemicals used: 4'W ----
Percentage of solution: Total gallons used:
Date of Treatment:
-
1d Treatment
Re Treat
- Driveway
g 111 Treatment
fRe-Tre�t
Cfther t s"
1 Treatment
Re•Treat
Time of Treatment: 2— tc aG
Slab
1� Treatment
Re -Treat
Pools
-Treat
for Final
Note: There must be a completed form for each required 46ant orre-Watment and this form mustbe on the job
site to be picked up by the Inspector at time of each InspecrIbn or the scheduled Inspection will fall and a re -Inspection
fee charged.
FBClD4.2.6 Certificate ofProteGtive rreaimentfarprevenbon of termites A wea4herres6stantjobsiteposdng beard
shall be provided to receive duplicate Treatment Certificates as each required protswtve th hrentrs completed,
providing a copy for the person the permit its issued to and anothier copy ror the building permit files The Treatment
Certificate shall provide the produdwsed, identity of the applicator, time and date of the b-eatmmt, site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
prO&VUve treatment if the soil chemical bamerMethod for termiteprevention isuued, 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 caver, listing all the treatments and dates of applications.
i
RECEI D. DEC 3
Termite Inspection e5u5 -L 2015 77 323 792"1
CFirlst is
- Termite Pretreatment
• Pest Control fVl6f-A-BoQ q Toll Free: 1-877-365=9990
• Rodent Service Termite 8 Pelf Fax: 772-340-5990 .
• Fire Ant Lawn Service COMM, Email: Evictabug@gmail.com
• Whitefly. Treatment Inc. 2373 SW Woodridge St.
• Licensed & Insured u�, 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 1 RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE _ 1 G III ' i TIME 2 -• d tJ
DEVELOPMENT NAME (PROJECT) tj CONTRACT^ORR'SNAME . C NTACTPERSON
y G .n I
STRUCTURE OCK) j CITY, STA , ZIP CODE C NTY 9F . Lac< -'E
N S VeJ fv\•
❑ FLOATING ONOLITHIC
❑ PATIO
❑ GARAGE
04DRIVEWAY ❑ STEM WALJ IFOOTERS ❑ ADDITION
13 CUTOUTS ❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ BORACARETREATMENT ❑ PLUMBING CUTOUTS $¢SIDEWALKS
❑ TAMP & TREAT "TREAT ONLY
,FdRNAL
Q POOL DECK
❑ OTHER
PRODUCTS
P(BASELINE ❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE
❑ OTHER
ACTIVE INGREDIE:N'f`' q IMIDACLAPRIB.. B1FEN111RiN ❑ Di50DIUM:QGTABQRATETETRAHYDRATE
CONCENTRATION "
06% -❑ .12% /❑ .25% O.05% . 1323% . ❑ 996 ❑OTHER GALLONS APPLIED O
SQUARE FOOTAGE LINEAR FOOTAGE �
SQUARE FOOTAGE VERIFIED
,6�t'ES ❑ NO
JOB READY CONDITIONS MET
❑ NO
('EASURED OR VERIFIED PER PLANS.
DETAILS
As per 104.2.6 FDIC - If sol chemical barrier method for -termite prevention is used. Final extedortreatment shall be completed prior to final building approval.
Certificate of Co
rnpllance: The bullding.has received a complete treatment he prevention of subterranean termites. Treatment is in accordance with rules and laws established
by the.Florida Department of Agriculture and Consumer Services. (Per the on a B Id3 ode.)
If this notice is for the final wteriortreatment, initial and date this line
FINAL STICKER a< ff t
QELECTRICALPANEL ❑WATER HEATER dTq R '�'f '��• + Q�d.2l
Payout Terms, Payment due at time of service.
Date
Date
Customer
Agent)
f.C6ntrol, Inc.)
6'd 0096-6L9-ZLL uoi}ona;su00 Nm
d6Z:t,0 9 � ZO oea