HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT- SCANNED
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St. Luck s County
Planning & Development Services REGEIv>c�
Building & Code Regulation Division
2300 Virginia Ave SEP 1 8 2C�a
Fort Pierce, FL 34982 I�ttln�
772-462-2172 Fax 772-462-6443 y?. e c QM
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
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=RMIT #: - n3-7 JOU ADDR 5S: "AFew-t—P4e�&Q FL,
JILDER CONTRACTOR: _ e
=ST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
=ST CONTROL LICENSE #: JB175775
e, the undersigned, hereby certify that we have pretreated the above described construction for
bterranean termites in accordance with the standards of the National Pest Control Association.
juare feet if area treated: Chemicals used: DOMINION 2L
!rcentage of solution: .05% Total gallons used:
ite of Treatment: �/ Time of Treatment:
ing Slab
_1st Treatment 1st Treatment
Re -Treat Re -Treat
Driveway Pools
16y�
1st Treatment 1't Treatment
Re -Treat Re -Treat
_Other Perimeter for Final Inspection
1'� Treatment
Re -Treat' I
(figna e o erminator Date
e: There must be a completed form for each require reatment or re -treatment and this form must be on the job
to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re inspection
charged.
C104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
ill be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
widing a copy for the person the permit is issued to and another copy for the building permit files. The Treatment
,tificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
ated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
►tective treatment If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
completed prior to final building approval.
Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
a electrical panel box cover, listing all the treatments and dates of applications.
7/24/2014
• Tre�rrn,ite Inspection sus cnrist Is Lo _�:; 772-323-7921
• Te'Irmite Pretreatment e " -
• P' 1st Control EVICT -A -OUR a 1911frog:1811-30-9990
Termite & faX:11Y-349-5990
• Rodent Service -� Pest
• Fi;l e Ant Lawn Service Control, Email; Evictabug@gmail.com
• WIC Inc.
itefly Treatment 4293 SW High Meadows Ave.
• Li erased & Insured uc. J6175775 Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 10.4.2.6 and Broward County Chapter FBC 105.2.2)
PES ', PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE SERVICE r /,� TIME ., (.1 CO
III !
DEVE
SOPf� NT NAME (PROJECT)
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CONTRACT O 'S NAME J
CONTACT PERSON
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H r<�G� ✓c� c ��lS
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STRU''
TURE ADDRESS (LOT/BLOCK)
v CITY, STATE
COUN Y
NOTjjS
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ZIP CODE
TREATMENT TYPE/AREA u
❑ FLO,,"YING 4MONOLITHIC ElPATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLIFOOTERS ElADDITION
ElCUTIOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ElSIDEWALKS
❑ TAM & TREAT TREAT ONLY ❑ FINAL El POOL DECK `❑ OTHER
UC PRODTS v
❑ BASH ILINE �OMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE (INGREDIENT ' ' YMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06%I ❑ .1% ❑ .12% ❑ .25% b65% ❑ 23% 0 9% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE ( LINEAR FOOTAGE
I
SQUARE FOOTAGE VERIFIED
p YES ❑ NO -MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
Ni YES111 ❑ NO DETAILS
As pe
Certif
and lE
If this
FINAL
❑ ELI
Pia-vme
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Date
04.2.6 FBC • If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
to of Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules
established by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
itice is for the final exterior treatment, initial and date this line
/9
PANEL ❑ WATER HEATER ❑ OTHER
Payment due at time of service.
Date Customer(Prope OwnerorAgent)
www.evictabugpestcontrol.com