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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPEST
PEST
We, the
Square
Planning & Development Services
Building & Code Regulation Division
230o Virginia Ave
Pork Pierce, FL 34992
772,462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATM ENT
CONSTRUCTION SOIL TREATMENT
3oo�7 JOB ADDRESS:._ �'� I
- . _ . ..
CONTRACTOR:
LICENSE y#:
��oe///N
tO r 1
1p
ANNED
61Y
St, Ludie County
lersigned, hereby certify that we have pretreated the above described construction for
n termites:in accordance with the standards of the National Pest Control Association.
d
if area treate-
chemicals used: Asod/
of solution: Cy
Date of atment: �" I V
Footing
1. Treatment
Re -Treat
DrW,eway
�1� Treatment
Re -Treat
Cattier
11 p Treatment
Re -Treat
Total gallons used: _aL6
Time of Treatment: '� d
ab
treatment
Re -Treat
Pools
Of
Note: Ob
There must be a completed form for each required a ent orre-trea ntand this farm musz`be an the
site to be picked up by the Inspector at time of each lnspe or fhe schedul Inspection will fal! and a re•Irespedlon
fee chore
FBC10416 Certificate oFProtective irea4mentforpnevendon oftermiles A weather► stantMbsite pasting board
shall be provided to receive dupllcate Treatment C&VfJcares as ead� required protective ►*reatrnentls rnmple[ed,
provldlnq� a copy for fife person the �nermlt tsSued to and another copy for the bu1lding permit tiles�The Tte yr d7n ar a
Certlfrcateshall provide thd �n fio nt t Of
lions used We id date of the tn edab/Ish a vedfrable record of
treated, iiremical used, percent
protecdve treabmnt If the soil chemicalbarriermethodfor termite prevention Is used, final exterior treattnentsha!
be completed prior to final bullding approval.
5l Lucie County r�quires'For the al inSpall the treatfor CO, a Pef.MbAeflt ments and dates of applications.
he placed on
the �eleitr_ical panel box cover, ng
�
• Termite, Inspection i©3 �G �e5u 5 Christ is for 772 323 7921
• Termite Pretreatment ffici -BugAa Toll Free: 1-877- 6 -
• Pest Control ® 3 5 9990 ,
Termite & Fax: 772-340-5990
• Rodent Service Pest
• Fire Ant Lawn Service 3 Control, Email: Evictalaug@gmail.com
• Whitefly Treatment Inc. 2373 SW Woodridge St.
• Licensed & Insured L'°" JB1575 Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE 1 RODENT EXCLUSION & REMOVAL I WHHIITEFLLYTREATMENT
DATE OF SERVIICE I TIMESCANNED
V.
DEVELOPMENT NAME PROJECT) r �1Gt CONT CTOR'S NAME CONElf
ERSONSt (£ z CSC Lucie bounty
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE, ZIP CODE COUNTY
1 5CAtj FrIA P rqc f. k e f le
NOTES
TREATMENT TYPE/AREA
❑ FLOATING ❑MONOLITHIC ElPATIO ❑ GARAGE ElDRIVEWAY ❑ STEM WALUFOOTERS ElADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
U TAMP & TREAT ❑ TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER
!� PRODUCTS
O7:BASELINE ❑ DOMINION IL ACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE
❑ OTHER
ACTIVE INGREDIENT ❑ IMIDACLAPRID O'BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
i
r❑ .06% El12% El.25% ❑ .05% ❑ 23% ❑ 9% El OTHER GALLONS APPLIED
`SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
Gd�ES LINO EASURED OR VERIFIED PER PLANS
JOB READY CONIDITIONS. MET
14ES ❑ 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
x•
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
Date N ApVa
tor: (EvictA Bug Ter i e and Pest Control, Inc.') .
70
Date Customer (Prot/ erty 'Own e or gent) "