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HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT6-6-19SCANWE® By Planningl& Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL $4982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMIITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: W l - 4� BUILDER/CONTRACTOR: 40'1- PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC. PEST CONTROL LICENSE #: JB175775 RECEIVED JUN A 6 '019 ST. Lucie County, permitf o§ 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: �t Percentage of solution:, .05% Date of Treatment: 2018 .- 11r Footing 1st Treatment Re -Treat Driveway 1st Treatment Re -Treat Other 151` Treatment Re -Treat Chemicals used: DOMINION 2L Total gallons used: Time of Treatment: - Slab 1st Treatment Re -Treat Pools 1st Treatment Re -Treat xxxxx perimeter for Final Inspection. RAULCLUGARAJR oroa'oa'cCn'ia±?i-naA- 71f'� Signature of Exterminator I Date Note: 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 will fail and a re inspection fee charged. FBC104.2.6 Certificate of Protective Treatment for prevention cf 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 slates of applications. Revised 7i24/20.14 .Termite Inspection sus Christ is �� 772-323-7921 �! Termite Pretreatment Md.A-Bug r Toll free: 811-365 9990 iPest Control.. 4 Termite & Rodent Service =f �I, Pest fax%1Z-34D 5998 lt Fire Ant Lawn. Service Y ' Control, Email: Evictabug@gmail.com .Whitefly Treatment Inc,<_,4293 SW High Meadows Ave. �ucensea of insureta Palm City, FL 34990 Notice of Preventative Treatment for Termites (as required by Florida Building Code (1713C)104.2.6 and Broward County Chapter FBC 105.2.2) P PREVENTION I FIREANTSERVICE I TERMITESERVICE I RODENT EXCLUSION& REMOVAL I WHITEFLY TREATMENT D ��jST TE OF SERVICE }5' ? _ TIME II D€VELOPMENT NAME (PROJECT) CONTRACTORS NAME CONTACT PERSON S RUCTURE ADDRESS (LOTtBLOCK) CITY, STATE C-OUPTY % of wr t>,.s'` .�.„- '�,R✓&....✓: {"i. !',3'��..��.rf ,.`1`„f^�..` .,.,,i ,3 4 NOTES ° '7 _ .,# 3` III � ZIP CODE •.-^l '.✓.� f �{,r�fY .� ��"..' ,.'t„ ,f ix 3 �� �`. r � ?'"� : ��'.�d � �._z L..�. ❑ ,LOATING El MONOLITHIC ❑ PATIO .0 GARAGE ❑ DRIVEWAY El STEM WALLIF00TERS ❑ ADDITION U I t'TOUTS, LI FOOTER ❑ FRONT ENTRY O RETREAT ❑ BORA CARE TREATMENT 0 PLUMBING CUT OUTS ❑ SIDEWALKS U MP & TREAT :PjREAT ONLY UI FINAL 0 POOL DECK O OTHEP, PR DUCTS BASELINE ­E~DO`?tNION ❑ 2LACTIVE INGREDIENT El TERMIDOR SC 0 BORACARE D PREMISE ❑ TALS TAR ❑ � THER s t AC iUE INGREDIENT I I F1Y`DACLAPR(D LJ BIFENTHRIN 0 DISODIUM OCTABORATE TETRAHYDRATE 0 4% ZIA % ❑ .12% ❑ .25% Z3.05% ❑ 23% t7 $%o ❑ OTHER SCIVARE FOOTAGE LINEAR FOOTAGE I I S U RE FOOTAGE VERIFIED U Y 15 `3 NO "-.GI MEASURED OR VERIFIED PER PLANS t7 Y.i„S Lt NO DETAILS GALLONSAPPLIED As p ji rW.2.6 FBC - If soil chemical.barrier method for termite prevention is used. Final exterior treatment shall be completed priorto final building approval. Ceriiicate of Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and I" ws established by the Florida Department of Agriculture and Consumer Services: (Per the Florida Building Code.) r r If thi,notice is for the final exterior treatment, initial and date this line EI ELECTRICAL PANEL 0 WATER HEATER O OTHER_ _ Pa m'nt Terms: Payment due at time of service. s- h a� .N Date Appiicator,. (Evic-tABug Termite and Pest Control, Inc.) Date Customer (Property 01nmer or Agent) www,evictabugpestcontrol.com 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 #: JOB ADD SS: BUILDER/CONTRACTOR:, 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: '�-50 Percentage of solution: -05'/- Date of Treatment: 2018 � / _~II �`? L 1 Footing 1st Treatment Re -Treat Driveway 1st Treatment Re -Treat Other 1st Treatment Re -Treat Chemicals used: DOMINION Total gallons used: 0 Time of Treatment: - Slab 1st Treatment Re -Treat Pools 15t Treatment Re -Treat xxxxx perimeter for Final Inspection PAULC LUGARAJR 0.71.117¢y1.111?Ik ILUG/*R:.J j � /1 fc D-;ZD10AC.C9M1s0-0!1= J Signature of Exterminator Date SO Note: There most 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 will fail and a re inspection fee charged 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 ofgallons used, to establish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, final exter/or 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. n •'Termite, Inspection ),,,,.,.Christ is for -772-323-7921 • ;IT Pretreatment a • A F��C�-A-Bog Toll free.1-877-305-9909 Pest Control Termite &FOX: 772-248-5999 •�,Rodent Service Pest ;Fire Ant Lawn. Service Control, Email: Evictabug@gmail.com ®;Whitefly Treatment Inc. 4293 SW High Meadows Ave. • Licensed &insured Lic. J617 775 1 Palm City, FL 34990 11 Notice of Preventative Treatment fog Termites (as required by Florida Building Code (FBC)104.2.6 and Broward County Chapter FBC 105,2.2) PEST 11 PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION& REMOVAL I WHITEFLY TREATMENT DA E OF SERVICE TIME 0 DEVELOPMENT NAME (PROJECT) CO}NTRACTOR'Sq NAMq CONTACTPERSON II E`�; �.G.+^°� S�#�5�'d f�l�t.4„*`3 ! r� F t i..r �' � ! °'' "'�• p �� ✓t `. '�6 �.J'�✓ ..� � ,•� S RUCTURE ADDRESS (LOTtBLOCK) CITY, STATE COUNTY 1 � ,h:.' ✓'' F �, �.... rY^3 i ).tA 'kp, F;. 7 l'w , p ;4 'V o.✓" N+ TES ¢ F ZIP CODE El PS EI El AC a El so sq 171' J0I O' 'ING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLiF00TERS O-ADDITION UTS ❑ FOOTER ❑ FRONT ENTRY EI RETREAT ❑ BORA CARE'TREATMENT 13 PLUMBING CUT OUTS 0 SIDEWALKS & TREAT ""4TREAT ONLY A. FINAL ❑POOL DECK Cl OTHER :TS .ENE ❑YbOhAINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑PREMISE ❑ TALSTAR t1 R INGREDIENT 1211MrIDACLAPRID ❑ BiFENT,HRiN ❑ DISODIUM OCTABORATE TETRAHYDRATE .1% CJ A2% ❑ .25% 0 .05% ❑ 23% ❑ 9% ❑ OTHER F El NO %L] MEASURED OR VERIFIED PER PLANS ❑ NO DETAILS GALLONS APPLIED LINEAR FOOTAGE �_ f 67' 9 C" C As p�i 104.2.6 FBC - If soH chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval. Certificate of Com fiance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and I "ws 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 1 EL I' TRICAL PANEL ❑ WATER HEATER ment Terms: Payment due at time of service, Date Date Q OTHER 'Applicator. (Evict A Bug Termite and Pest Control, Inc.; .Y Customer (Property Owner or Agent) 'uktltltftlnItS3i5'�t www.evictabugpestcontrol.com