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Home My WebLink AboutTERMITE TREATMENT CERTIFICATESi •Terfnit(NOspection 5u5 Christ is to -' 772-323-7921 k • Termite Pretreatment ® EVICt:A-Bug �a TOII 10ee:1-811365-9990 •Pest Control Termite & ME 772-349-5990 • Rodent Service �� Pest • Fire Ant Lawn Service Control, Email: Evictabug@gmail.com • Whitefly Treatment Inc. 4293 SW High Meadows Ave. • Licensed & Insured Lic. J6175775 . Palm City, FL 34990 Notice of Preventative Treatment for Termites � /�_ Z (as required by Florida building Code (FBC) 104.2.6 and Broward County Chapter 1 03.2.2) PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL ,. I WHITEFLY TREATMENT DATE OF SERVICE TIME ` 0 Q SCANNED I DEV EL?PMENT NAME (PROJECT) CONTRACTOR'S NAME GpNTACT PERSON St Lucie COUnty ID ,. _ e®_.e .4 ..,-/, 61 _ 1 -11 STRUCTURE ADDRESS (LOT/BLOCK) / CITY, STATE COUNTY krf-� NOTES 210 CODE TREATMENT TYPEIAREA ❑ FLOATING ❑ CUTOUTS ❑. TAMP & TF PRODUCTS ❑ BASELINE ❑ OTHER ACTIVE INGR ❑ .06% ❑ 16CUONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS 0-TREAT ONLY ❑ FINAL O POOL DECK ❑ OTHER U 'DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE ❑ .12% ❑ .25% d/.05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED �76 d .LINEAR FOOTAGE . r SQUARE FOOTAGE VERIFIED YES > d NO dMEASURED OR VERI IED PE PR�LANS JOB READY CONDITIONS MET [! YES ❑ NO DETAILS I i As per 104.2.6 FBC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval., Certificate of 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 is for the final exterior treatment, initial and date this line FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER' Payment Terms Payment due at time of service.` Date v Applicat rr�ct A Bug Termite�and Pest Control, Inc.) Pi Date Customer (Property�06ner or Agent) "Jrjrrm,m �ul�"� www.evictabugpestcontrol.com • Termite Inspection e5u5 Christ is for �® 412-323-7 &1 Termite Pretreatment EVICt-A-Bug a loll Free:1-877 365-9990 • Pest Control • Rodent Service �"� • , Termite a Pest ME 772-349-5990 • Fire Ant Lawn Service ; . Control, Email: Evictabug@gmail.com • Whitefly Treatment Inc. 4293 SW High Meadows Ave. •. Licensed & Insured Lic. �g�75775 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' FIFE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT DATE OF SERVICE G /, { TIME DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAMES CONTACT PERSON STRUCTUREADDRESS (LOT/BLOCK) A CITY, STATE COUNTY r „ P ZIP' CODDE NOTES I C'r! .(mot I 1! / "` 1 _ A �� 1 /� f%EC.c J 'C-� ] 'C/ P ❑ FLOATING t6v10NOLITHIC �jj PATIO- ❑ GARAGE �IDRIVEWAY ❑STEM WALUFOOTERS ❑ ADDITION ❑,CUTOUTS ❑ FOOTER•�❑ FRONT ENTRY ❑ RETREAT ❑ BORACARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS ❑ TAMP & TREAT 'TREAT ONLY FIN L ❑ POOL DECK ❑OTHER' PRODUCTS ❑•BASELINE ` "DOMINION 2LACTIVE'INGREDIENT ❑ TERMIDOR SC ❑ BORACARE d PREMISE ❑ TALSTAR ❑ OTHER ACTIVE INGREDIENT �OIMIDACLAPRID ❑ BIFENTHRIN.,-' ❑ DISODIUM OCTABORATE TETRAHYDRATE Yr� CONCENTRATION �'05% r ❑ .06%0 ❑ .1 % ❑ .12% ❑ .25%0 ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED SQUARE FOOTAGE LINEAR F60TAGE SQUARE FOOTAGE VERIFIED ONES ❑ NO EASURED OR VERIFIED PER PLANS JOB READY CONDITIONS MET ❑IYES ❑ NO DETAILS As per 104.2.6 FBC If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval. Certificate of 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 is for the final exterior treatment, initial and date this line FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER gay Payment Terms: Payment due at time of service. Date I Appli'cator: (Evict A Bug Termite and Pest Control, Inc.) 4 b b Date �CusWn& (Pi6perty Owner or Agent) . �Mgrtt+urUuai�uL1 . www.evictabugpestcontrol.com pianning & Deveiopmen t MOM B uiiding & Code Regulation Division 2308 v6rolnie Ave Fort pierce` FL 34982 7 72-4 62-2172 Fax 77 2-462-6443 TE?i_N1 .i`N 4 MEA�]/M BUII DER/CONTRACTOR: V-— PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC. PEST CONTROL LICENSE # : J6175775 We the undersigned, hereby certify that we have pretreated the above described construction atlonor subterranean termites in accordance with the standards of the National Pe Square feet if area treated: 00 Chemicals used: DOMINION 21. Percentage of solution: 05% Total gallons used: 9® Date of Treatment: =— c Time of Treatment: _ I Footing ist Treatment Re -Treat Driveway � _1st Treatment Re -Treat, r Other JJ�� ist Treatment Re -Treat Slab —is' Treatment Re -Treat Pools st Treatment :e-Treat it for Final Inspection nature terminator Date for each required treatment or re -treatment and this form must be on the job Note: There must be acomp/eted form site to be picked up by the inspector at time of each inspection or the scheduled Inspection w111 fall and a re-Inspectlon fee charged. _ FBI6,104.2.ro Ceriiflcate of Protective Treatment for pre ventlon of termites A weather resistant jobsite posting board shall be provided to receive duplicate Treatment Certlficates as each required protective treatment is completed, providjng a copy for the person the permit is issued to and another copy for the buliding 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 protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final buliding approval st Lucia county requires for the ffinali ius sPection for C®p a permanent of ppliIau• to s. g�i��®d ®aa the, caiao$tricai palnei box cover; iietking 800 the treatments s and d�$�a off ��ii��io»�n 7/,24/201h