HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTi SCANNED
BY
St. tucq County
Planning & Development Services
- ! - Building & Code Regulation Division
COUNTY 2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: J D') - 6.5 00 JOB ADD
BUI DER/CONTRACTOR: 0,C.a��_4
We,
C.
Date
CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
CONTROL LICENSE #: JB175775
undersigned, hereby certify that we have pretreated the above described construction for
nean termites in accordance with the standards of the National Pest Control Association.
feet if area treated: (_
of solution: •05%
Treatment; 06h �1
1st Treatment
Re -Treat
1st Treatment
Re -Treat
Other
Chemicals used: DOMINION 2L
Total gallons used: 9
Time of Treatment: q !05
Slab
1st Treatment
Re -Treat
Pools
1" Treatment
Re -Treat
Perimeter for Final Inspection
1'� Treatment
Re -Treat l
Srrealment
of Exterminator ate
Note.' There must be a completed form for each require or re -treatment and this form must be on the job
site `Y be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBCi"04.2.6 Certificate of Protective Treatment for prevention of termites A weather resistant jobsite posting board
sha#lbe provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro viying 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 L6cie County requires for the final inspection for CO, a Permanent Sticker to be placed on
the ielectrical panel box cover, listing all the treatments and dates of applications.
7/24/2014
�� �
5 Christ is�
Termlt Inspection
u : �72 323 7921
• Termitg Pretreatment �e5 EVICt A-Bu era ' 1011 frBe:1-811-365-9990
• Pest Control f Termite & -
faX.11Y-340-5999
• Rodent�l Service ��AN�� �� '. Pest Email: Evictabug@gmail.com
• Fire Art Lawn Service BY - Control,
• Whitefly Treatment. Lucie ColtQ�i Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. e"5'75 Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FI ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVIICE I o m TIME -00
III t
DEVEL �P E
1T NA��,4PR0 ��C� ,y P, Q 1pw64aS
NAME
/
CO�ITA SON
STRUCTURE ADDRESS
(LOTIBLOCK)A
L Y, rE
NOTES
/'Oc->/ �e c l.� ��/(/lil (/ /
�II
'�� (� C/�� O
ZICODE(g 9
❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS L3;OOTER ❑ FRONT ENTRY ❑ RETREAT ElBORA CARE TREATMENT ❑ PLUMBING CUT OUTS El SIDEWALKS
❑ TAMP & TREA O TREAT ONLY O FINAL �❑ POOL DECK ❑OTHER
PRODUCTS I t
❑ BASELINE ❑kDOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER III
ACTIVE INGREDi1ENT O IMIDACLAPRID ❑ BIFENTHRIN ❑ DI SODIUM OCTABORATE TETRAHYDRATE
CONCENTRATIOI N
❑ .06% ❑ .1°/' ❑ .12% ❑ .25% 05% ❑ 23% ❑ 9% ❑ OTHER GALLONSAPPLIED 2�
rl ca
SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
b YES ❑ NO �L] MEASURED OR VERIFIED PER PLANS
i
JOB READY CO DITIONS MET
�IU YES V ❑ NO 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 C Impliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules
and laws establ!shed by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
If this notice is PI r the final exterior treatment, initial and date this line
FINAL STICKER,
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: ',Payment due at time of service.
/ tia
Date
-'`� D/l/ I di^- f P
Date Customer (Property Owner or Agent) —' �,;,;/1�9a►�uw�„v
I www.evictabugpestcontrol.com
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