HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESRECEIVED
Planning & Development Services
Building & Code Regulation Division JliPi 2 7 1019
2300 Virginia Ave
Fort Pierce FL 34982 Permitting Department
� � St. Lucie County
772-462-2172 Fax 772-462-6443
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CERTIFICATECONSTRUCTION ON SOrIL TREAITE RMENMENT St�uc! YoE®
unhr
PERMIT #: Z%i -00A3 JOB
BUILDER/CONTRACTOR: M
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: J13175775
EVICT -A -BUG TERMITE & PEST CONTROL INC.
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.
L
Square feet if area treated: /y /r—
Percentage of solution:.05%
Date of Treatment: 6 -d-5" 19,
Footing
1't Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1s` Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:,7S
Time of Treatment: l)_7J
Slab
1't Treatment
Re -Treat
Pools
1't Treatment
for Final
Date
Note: There must be a completed form for each required 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 shallprowde 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 CO, a Permanent Sticker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
Revised 7/24/2014
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly'Treatment
• Licensed & Insure
Je5u5 Christ is �orq
® Euict A -Bug
Termite &
Pest
Control,
Inc.
I-C.JB175775
Y2-323-7921
Tall free:1-811395.9999
for 772-349-5989
Email: Evictabug@gmail.com
4293 SW High Meadows Ave.
Palm City, FL 34990
l 0 j Z o 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 SERVICE ZI I / TIME
DEVELOPN�TN/AME (PROJECT) CO TR/ACTOR'S NAME CONTACT PERSON
STRUCTUREADDRESS (LOTIBLOCK)CITY, ST ,,�� COUNTY
Sat S �� ,L.t.�vs��, �rJC� �orT /'i,erc-� S%L�u.r)-e
NOTES ZIP CODE
1f 07 !
TREATMENT TYPEIAREA
❑ FLOATING
MONOLITHIC
❑ PATIO
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ TAMP &TREAT
QTREATONLY
(J
❑FINAL
PRODUCTS
❑ BASELINE
p DOMINION 2LACTIVE INGREDIENT
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ GARAGE ❑ DRIVEWAY
❑ RETREAT ❑ BORA CARE TREATMENT
❑ POOL DECK ❑ OTHER
❑ STEM WALUFOOTERS ❑ ADDITION
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
9
N
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
IMIDACLAPRID O BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .1% ❑ .12% ❑ 25[.%q pLY.05% - .O 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE l rf• O LIN
SQUARE FOOTAGE VERIFIED
AYES ❑ NO � MEASURED OR RIFTED PER PLANS
JOB READY CONDITIONS MET
it) YES ❑ NO DETAILS
GALLONSAPPLIED ISO
As per 104.2.6 FBC • If soil chemical barrier method far 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
Payment Terms: Payment due at time of service.
im
Date And!
❑ OTHER
Ev cl A Bug Termite and Pest Control, Inc.)
Date Custrgm4r(Proper[Xvvndr rAgent)
(/ www.evictabug pestcontrol.Com