HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE - 4-9-19APR RFCFIV�o
per�/tt! � . 2019
n
St <uce0'o Eyent.
5GANNED
CERTgpnCA7E OF 7ERM9 E 7REATMEN7 BY
�t Luce County
CONSTRUCTION SOIL TREATMENT ENT
JOB ADDRESS: 2 1 12�tCrc.-2
PERMIT, #: lli t ? Z
BUILDER/CONTRACTOR: S ----- '' -•—
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: J13176775
We, the 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: CSG
Percentage of solution: •05%
Date of Treatment:
I
Footing
planning & Deve@oPment Services
Building & Code ReguOation Division
23co Virginia Ave
Fort pierce, FL 34982
772-462-2172 Fox 7 72-462-6443
Chemicals used: DOMINION 2L
Total gallons used: 0a
Time of Treatment:
)<L Siab
' 15t Treatment � 1st Treatment
Re -Treat Re -Treat
Driveway Pools
1st Treatment 1st Treatment
Re -Treat Re -Treat
other Perimeter for Final Inspection
1st Treatment t
Re -Treat Date
tore of Exterminator
Note. 77 ere must be a completed form for each requlred treatment or re -treatment and this form must be on the job
ach inspection or the scheduled Inspectlon will fall and a re -Inspection
site to bei picked up by the Inspector of time of e
fpe r_hmded.
FBC10402.6 Certificate of Protective TYeatment for prevention of termltes A weather resistant nt site posting board
shall be prov/ded to receive duplicate Treatment Certificates as each requlred protective treatment /s completed,
providing a copy for the person the permit is issued to and another copy for the buliding permit flies. The Treatment
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment, site location, area
treated, chemlcal 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 comp%ted prior to final building approval,
Sit LucOel County requures for the ffo nai O nsPection for Coy a permanent Sticker to be placed on
the eie�trica0 Panel box cover, Hosting all the treatments and dates of aPPIlicatiO nso
14
• Termite Inspection Je5�j.5 cnr.St ;S Cora . �•v ,�T2-323-7921
• Termite Pretreatment EVICt-A-Bug loll fPee:1-d11:365-9990
• Pest Control Termite & Fix:11Y-349-5998
• Rodent Service Pest
• Fire Ant Lawn Service -. Control, Email:, Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & 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
I
DATE OF SERVICE Ci TIME
DEVELOPMENT NAME (PROJECT) CONT CTOR'S NAME � CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE COUNTY
NOTES _ ZIP CODE
3-f� z<
FLOATING
EI CUTOUTS
❑•TAMP & TREAT
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ .06% ❑ .1 %
SQUARE FOOTAGE_
YES
Q(YES
MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER
DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
12% ❑ .25% �(05% ❑ 23% ❑ 9% , ❑ OTHER GALLONS APPLIED
❑ NO [MEASURED OR VE FIED PER PLANS
❑ NO ' DETAILS
LINEAR FOOTAGE
As per 104.2.6 FBC i 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 establisheltl by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
If this notice is for tlhe final exterior treatment, initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service. _
Date
Date
Applicator: (EvictA Bug Termite and Pest Control, Inc.).
www.evictabugpestcontrol.com