HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE171
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
CONSTRUCTION SOIL TREATMENT
PERMIT #: ,-2�70 JOB ADD
BUILDER/CONTRACTOR: nd,,_c.
PEST CONTROL CONTRACTOR: Ey
PEST CONTROL LICENSE #: JB175775
TERMITE & PEST CONTROL INC.
SCANNED
BY
St Lucie County
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: Zoo Chemicals used: DOMINION 2L
Percentage of solution: .05%
Date of Treatment: Y/� Z
Footing
1st Treatment
Re -Treat
D) Veway
is` Treatment
Re Ty�at
Other 1'�(/��C
> 1st Treatment
Re -Treat
Total gallons used: 20
Time of Treatment: 3 I 00
Slab
1st Treatment
Re -Treat
Pools
Is' Treatment
Re -Treat
erin)eter for Final Inspection
Exterminator IDate
ice,<_e,a_
LL�;71
Note: There must be a completed form for each requ r`ed treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistantjobsite 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 building 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 building approval.
St Lucie County requires for the final inspection for CID, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
7/7d/701A
Termite Inspection u5 Christ is 772-323-7921
Evict-A-ny�"
•Termite Pretreatment ��� ��5 H' i911 Ree: 1-877-385-9908
• Pest Control Termite &f2X:112-340-5990
• Rodent Service Pest
• Fire Ant Lawn Service Control, Email Evictabug@gmail.com
• Whitefly Treatment l Inc. 4293 SW High Meadows Ave.
• Licensed &Insured Lic. J6175775 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 SERVICE12 rI Ci TIME Oy
DEVELOPMENT NAME (PROJECT) CONTRACT R'S NAMEjj n CONTACT PERSON
D
STRUCTURE ADDRESS(LOT/BLOCK) `.� Q ITY, STTE� J C�OyN
/ / /G /
NOTES ZIP CODE
l ; ! I - av 3` 5 V
❑ FLOATING MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLIFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT O REAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE DOMINION 2L ACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT 1 IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION I
❑ .06% ❑ .1% ❑ .12% ❑ ..225%% .05% ❑ 23% ❑ 9% ❑ OTHER GALLONSAPPLIED
SQUARE FOOTAGE e2QG / LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
0 YES ❑ NO
JOB READY CONDITIONS MET
? YES O NO
—,
VMEASURED IFIED PER PLANS
-------------
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
Payment Terms: Payment due at time of service.
Date L /�—pllrad&Bo Aptor: (EviTermite aml Pest ntroi Inc.)
Date (—Gastome7(PmportOwner or Agent)
www.evietabugpestcontrol.com