HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPEST t
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�i�3�U�1�V1
BY
Siva LucieCO-00
Planning & Developiment Services
Building &Code P-"U'Atlon Division
2300 Virginia Ave
Fork Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
ENT
cQNsTRUCTION SOIL -
d OW-
r
CONTRA(
LICENSE
lersigned, hereby certify that we have pretreated the above described construction for
n termites in accordance with the standards of the National Pest Control Association,
Chemicals used: ,
if area treated:
of solution: 6 Total gallons used:.
�� P
atment:
Time of Tr atment:
Treatment
Treat
Treatment
Treat
_19 Treatment
Re -Treat
lab
Vl� reatment
—Re-Treat
Pools A .
T reatment .
e Treat
Peri ter for Firtal.Inspection
�e must be a completed form for each required treat
picked up by the Inspector at time of each Inspecilon
vu�
(gKature of Wetminator
of or re-tieatmentand th/s form must be on thejob
the scheduled lnspectbon will fall and a -re inspection
E.2.6 t:ertificate OfProteeve TreaWlffitforplel entiop of termites A weatherresistantjobsite pmtln_a board
provided m receive duplicate Treatment C fkates as ead� regvlred prat ve iresb e p e eaunent
g a copy for the pin the perrnit is hued to and anDiher-copy for the bulldfV p site IocaG'on, area
lie shall provide the product used, identity of the applicator, Elrne and date of the treatment,
diemipt used
fpercent
sot m erica! barrler&ajf0nand numiler of gal
method for termite prevenb*aIons used to nused, floe!fiexten`o treatmentshall
1 e treatnten
plated priorto final bulung approval
le County requires for the final inspection
»ts and dates of a elmr tolications
be Placed on
.ntrical panel bex cover, listing all the
' S Christ is I
Termite Inspection �e5� �o�a 772 323 7921
• Termite �, retreatment ® EVICt AmIng Toll Free: 1-877-365-9990
• Pest Co trol
Termite &
Rodent Service � Pest . Fax: 772-340-5990
Fire Ant (Lawn Service Control, Email: Evictabug@gmail.com
• Whiteflyijfreatment Inc, 2373 SW Woodridge St.
• License & Insured �'� JB15775 Port St. Lucie, FL-34953
Notice of Preventative Treatment for Ter �rrbites
(as required by Florida Building Code (FBC) 104.26 and Broward County Chapter-EBC 05.2.2)
PEST PREVE DTION I FIRE ANT SERVICE pI TERM :E/EIRVic I j� RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICII 1 •k% TIME 1 ' b D
DEVELOPMENT AME (PROJECR,5
C TRACTO 'S NAME CON T J:P59ON
oug�-4 . c � AAe t(-1oir -
STRUCTUREAdDRESS (LOT/BLOCK). co 41 ^STATE, ZIP ODE
NOTES
OA LvktA IAc1e 5 � . M fj 14ws-e - -,',,� 156�,-
❑ FLOATING
❑ CUTOUTS
rQ TAMP & TRE,
PRODUCTS
0O-BASELINE
❑ OTHER
ACTIVE INGREI
V.MON,OLITHIC ❑ PATIO ❑ GARAGE 0 DRIVEWAY _'"---U-STE97AMUFOOTERS ❑ ADDITION
❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER
❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE
❑ IMIDACLAPRID KIFENTHRIN ❑ DISODIUM OCTABORATETETRAHYDRATE'
V ,�06% ❑ II 2% ❑1 .25% ❑ .05% ❑ 23% ❑ 9% El OTHER GALLONS APPLIED
SQUARE FOOTAGE D LINEAR FOOTAGE
`1YES
' ❑ NO
EASURED OR VERIFIED PER PLANS
K
JOB READY CO
ITIONS MET
kYES .
❑ NO
DETAILS
Asper 104.2.6 FM, - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
Certificate of Co aliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and laws established
by the the Florida of Agriculture and Consumer Services. (Per the Florida Building Code.)
If this notice is for a final exterior treatment, initial and date this line n
FINAL STICKER
❑ ELECTRICAL ❑ ANEL WATER HEATER
Payment Ter ,,Payment due at time of service.
Date
Date
t ',wit . ,,.5,