HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT FINAL 4-22-19planning & DeveOoPment Services
a Building & Code Regulation Division 1
2300 Virginia Me
iFou ti: Mercer FL 34982
772-462-2172 Fox 772-462-6443 %
(CER79FICATE OF TERNIETE TREATMENT
CONSTRUCTION SOILS TREATMENT
JOB ADDRESS: �7%l Q� un
PERMIT #: 3•
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE &PEST CONTROL INC.
PES, CONTROL LICENSE #: J5175775
We, ,he 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: DOMINION 2L
d: Chemicals used
Percentage of solution: •05%
Total gallons used:
Dat � of Treatment: _ y
Z2'/ Time of Treatment: 53'
o ting Siab
Footing
° ist Treatment 1st Treatment
Re -Treat Re -Treat
I Driveway Pools
1 ist Treatment 1st Treatment
RRe-Treat
e-Treat
11 other P ter forrPi ial inspecfiim
1st Treatment
Re -Treat Date
ature of Exterminator
Notg�I :� There must be a completed form for each required treatment or re -treatment and this form must be on the job
site b be picked up by the inspector at time of each inspection or the scheduled Inspection will fall and a re -Inspection
fee charged.
I
®t9 ®4,2,w 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 bullding permit files The Treatment
Certificate shall provide the product used, Identity of the apollcator, time and date of the treatment, site locat/on, area
treaded , 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.
Sir I5''ucie cou nt 9 requ ices ffor the fine
inspection for Col a permanent sticker t® be placed ont�ie, arQec$a icag g�ao�e6 boxcoverI listing a89 the treatments and dates of applications.
Rcyja44 7/,24/201A
• `Termite, Inspection5�5 Christ is for �'. 12-323-7921
Termite Pretreatment a
Eu�cf-A-Bug Toll RE.-811365-9999
• Pest Control Termite & '
ME 772-349-5989
• Rodent Service Pest
• Fire Ant Lawn Service - Control, Email: Evictabug@gmaii.com
i Inc.'
• White fly Treatment' . 4293 SW High Meadows Ave.
• Licen d & Insured Lic. JB175775 `' ' 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 FIRE, ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
.DATE OF SERVICE 1 t TIME
DEVELOPM ',T NAn E,(PROJECT) Co�NTRACTOR'S NAME - � � CONTACT PERSON
/.( �) r fiOt4M' r r� (i�.r�tir r r�%ir �� l� 0 7 2 1 7� S -7
STRUCTUR
^ADDRESS (LOT/BL-OC�4� y r
CITY, STATE C`ODUNTY,+ e
NOTES
tJ
ZIP CODE
7
TREATMENT TYPE/AREA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO ❑ GARAGE
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS I
❑ FOOTER
❑ FRONT ENTRY ❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
f f
❑'TAMP & TREAT
❑rTREAT ONLY
CQ-FINAL ❑ POOL DECK
(J
❑ OTHER kip
(J
I' PRODUCTS
St Lucie coLiniy
. ❑ BASELINE
',�I
VIDOMINION 2L''ACTIVE INGREDIENT ❑ TERMIDOR SC' ❑ BORACARE El PREMISE ❑ TALSTAR
V
" ❑"OTHER
ACTIVE INGR III
IENT
G]1MIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE-
v
CONCENTRATION
i
II%
❑ .06% " ❑ .
❑ .12% ❑ .25%
4.05% ❑ 23% ❑ 9% ❑ OTHER
GALLONS APPLIED
25&
SQUARE FOOTAGE
LINEAR FOOTAGE
i YES
JOB RE
O� YES
�r
O NO ]-MEASURED OR VERIFIED PER PLANS
❑ NO DETAILS
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 Compliance: 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 �l for the`final exterior treatment, initial and date this line
r �+
FINAL STICKER
❑ ELE� PANEL ❑ WATER HEATER OTHER bta Df gip! J04 ~',
Payment Terms: Payment due at time of service.
/y al�puui
M
Date —Applicator: tor: (Evict A Bug Termite and Pest Control, Inc.)
Date ''' Customer("P(roperty Owner or Age< "'`tItIa�+''�
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www.evictabugpestcontrol.com