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
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I
t'TOUTS,
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O RETREAT ❑ BORA CARE TREATMENT 0 PLUMBING CUT OUTS ❑ SIDEWALKS
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MP & TREAT
:PjREAT ONLY
UI FINAL
0 POOL DECK O OTHEP,
PR
DUCTS
BASELINE
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THER
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iUE INGREDIENT
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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
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S�#�5�'d f�l�t.4„*`3 ! r� F t i..r �' � ! °'' "'�•
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S
RUCTURE ADDRESS (LOTtBLOCK)
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sq
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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