HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT 4-11-19._J
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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CERTIFICATE OF TERMITE TREATMENT 0,
CONSTRUCTION SOIL TREATMENT %64,
PEWIT _#: i JOB ADDRESS: 17701 AM&LW-011f,61L ("61
BUI I IliDER/CONTRACTOR: c� GD ��n6-6u ci s,.� r
PES CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PIES CONTROL INC.
PIES CONTROL LICENSE #: JB175775
We, t e undersigned, hereby certify that we have pretreated the above described construction for
subtel�Iranean termites in accordance with the standards.of the National Pest Control Association.
III
Squarlle feet if area treated: Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: Z/O
Date of Treatment: // / e( Time of Treatment: 9- 00 F-Wk`
11
1Footing Slab
1st Treatment 1't Treatment
Re -Treat Re -Treat
Driveway Pools
„j V- 1st Treatment 1st Treatment
Re -Treat Re -Treat
_Other Perimeter for Final Inspectio
I; _� 1st Treatment
Re -Treat 21It
Signature of Exterminator D e
Note., inhere 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 cha'rc7ed.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite posting board
shall b le provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
pro vidiing 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
prote ve treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lurie 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.
Revised
• Termite Inspection �e5us Christ is for *2-323-7921
Termlt!e Pretreatment EVICt A -Bug Toll FOR:1-811-385-0989
• Pest Control Termite &
• Roden!f Service fat 72-340-5990
Pest Email: F-victabug@gmail.com
•Fare Ant Lawn Service Control,
• Whitefl�y Treatment Inc. 4293 SW High Meadows Ave.
• Licensied & .Insured " Lic, JB175775 Palm City, FL 34990
'Notice of Preventative,Treatment for Termites
(as required by Florida Building Code (FBC) 104:26 and Broward County Chapter FBC 105.2.2)
11
PEST PRE I�VENNTION I FIRE ANT SERVICE I TERMITE SERVICE; I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERy' CE TIME o
'DEVELOPME
T NAME (PROJECT)
CONTRACTOR'S NAME
W11-s
CONTACT PERSON
Is,
J0 D 77;2
STRUCTUREADDRESS
(LOT/BLOCK)
CITY, STATE
COUNTY
Lccc
NOTES
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/ 4 D �
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— 0 O-Lq
/ ��Y �/��(rt� 1� �,�� r�'
ZIP CODE`
31149 li 1)
TREATMENT TiYPEIAREA
❑ FLOATING
r ❑ MONOLITHIC
❑ PATIO
❑ GARAGE d-,DRIVEWAY
❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TR
TREAT ONLY
❑ FINAL
❑ POOL DECK ❑ OTHER
PRODUCTS
'i
SCAN EU
❑ BASELINE
60 DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑
TALSTAR
❑ OTHER
St Lucie Cibunty
ACTIVE INGREDIENT
IENT
4IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑..06% ❑ .�% ❑ .12% ❑ .25% 12C.05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE /t� LINEAR FOOTAGE
'YES El NO 21 MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
u.YES $I ❑ NO DETAILS
'i
As per 104.2. FBC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
Certificate of `. ompliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules
and laws established by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
If this notice i,. for the final exterior treatment, initial and date this line
❑ ELECTRICAL PANEL. ❑ WATER HEATER
1
Payment Terms:: Payment due at time of service.
Date
i
i
Applicator: (Evict A Bug Termire and Pest Control, Inc.)
Customer (Property Owner or Agent),
www.evictabugpestcontrol.com