HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT - 4-2-19w
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 19CAYNED
CONSTRUCTION SOIL TREATMENT e ou
'sty
PERMIT #: 1809-0306 JOB ADDRESS: -2208 CORTEZ BLVD FORT PIERCE, FL 34981
BUILDER/CONTRACTOR: COASTAL BUILDING CONTRACTOR/BSE CONSTRUCTION GROUP
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
I
,We, the undersigned, hereby certify that we have pretreated the above described construction for
suIbterranean termites in accordance with the standards of the National Pest, Control Association.
Square feet if area treated: 195 LF Chemicals used:' DOMINION 2L
Percentage of solution: •05% Total gallons used: 10.0
Date of Treatment: 4-2-2019 Time of Treatment: 11:00
Footing Slab
1st Treatment 1st Treatment
I Re -Treat Re -Treat
I Driveway Pools
1st Treatment 1st Treatment
f Re -Treat Re -Treat
-A-Other xxxxx Perimeter for Final Inspection
1st Treatment
Re -Treat PAUL C LUGARA JR p `°.=e -L0U1GAR4-2-2019
Signature of Exterminator Date
e: There must be a completed form for each required treatment or re -treatment and this form must be on the job
to be picked up by the inspector at time of each inspection or the scheduled inspection w/ll fail and a re inspection
charged.
C104.2.6 Certificate of Protective Treatment for prevention of termites , A weather resistant jobsite posting board
W be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
Pv/ding a copy for the person the permit is issued to and another copy for the building permit files The Treatment
trIcate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
3ted, chemical used percent concentration and number ofgallons used, to establish a verifiable record of
tective treatment- If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
completed prior to final building approval.
Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on
electrical panel box cover, listing all the treatments and dates of applications.
7/2412014
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• Termite Inspection ) 5.5 Christ is �o ?72-323-7921
Termite Pretreatment fVICt-A-Buff r loll FPee: I-877-385-9998
Pest Control
- Rodent Service °.` Pest ire & FBI. 72-349-5999
- Firej Ant Lawn Service -- - Control, Email: Evictabug@gmail..com
- Whitefly Treatment 4293 SW High Meadows Ave.
• Licensed & Insured Lic. J6175775 Inc. 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 TE MITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE LI ' \ TIME Z6—L�
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME nczN
TLIICT PERSON
A I` 'DU,,VI `� r ( - � `:iJ + e-v-S j
STRUCTURE ADDRESS (LOT/BLOCK) I CITY, STATE COUNTY
V/
10- 6-/ 6 J�Ijq- < P
NOTES ZIP CODE
TREATMENT TYPE/AREA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ TAMP B;TREAT
/ AT ONLY
V
P INAL
PRODUCTS
❑ BASELINE
MINION 2LACTIVE INGREDIENT
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ GARAGE ❑ DRIVEWAY
❑ RETREAT ❑ BORA CARE TREATMENT
Cl POOL DECK ❑ OTHER
❑ STEM WALL/FOOTERS ❑ ADDITION
❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
IDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% 'I❑ .1% ❑ .12% ❑ .25% ( -15% ❑ 23% ❑ 9% ❑ r OTHER GALLONS APPLIED U Q
SQUARE FOOTAGE / LINEAR FOOTAGE
I
SQUARE FOOTAGE VERIFIED
AYES ❑ NO
JOB READY CONDITIONS MET
0-i'ES I ❑ NO
MEASURED OR VERIFIED PER PLANS
DETAILS
As per 10i .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 Comoliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules
and laws i stablished by the Florida Department of Agriculture and Consun r Services. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
LECTRICAL PANEL ❑ WATER HEATER ❑ OTHERS
Payment Terms. Payment due at time of service. n
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ta�.atYr��7zp
Date pplicator. (Evict A ermite and Pest Control, Inc.)
Date Custom,erfi4operty Owner or Agent)
www.evictabugpestcontrol.com