HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEplanning &Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 FOX 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I k 1 1 —03 kb JOB ADDRESS
BUILDER/CONTRACTOR: —T—A)T F
PEST CONTROL CONTRACTOR: EVICT-A•BLIG TERN
PEST CONTROL LICENSE #: JB175775
1900 Z
& PEST CONTROL INC.
we, the undersigned, hereby certify that we have pretreated the above described con
subterranean termites in accordance with the standards of the National Pest Control i
s9�
Square feet if area treated: 335 � Chemicals used: BASELINE
Percentage of solution: •06'A
Date of Treatment: Z- t 3- l i
_Footing
l:t Treatment
Re -Treat
Driveway
11t Treatment
Re -Treat
Other
S't Treatment
Re -Treat
Total gallons used: -3 a
SCB��F®
StzIlCie County
3407
for
Time of Treatment: n : 3 a —� �� •' o 0
- I
-ers
lab
4K—P Treatment
Re -Treat
Pools
15t Treatment �
Re -Treat
Perimeter for Flpyl Inspection
Signature of Exterminator
Note.* There must be a completed form for each requred treatment or re -treatment and Lids
site to be picked up by the inspector at time of each Inspection or the scheduled inspectlon w
fee charged.
F80104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resist
shall be provided to recelve duplicate Treatment Certificates as each required protective treat
providing a copy for the person the pannitIs Issued to and another copy for the building pern
Certificate shall provide the product used, Identity of the appilcator, time and date of the trey
treated, chemical used, percent concentration and number of gallons used, to establish a ven
protective treatment if the soil chemical barrier method for termite prevention Is used, final
be completed prior to final building approval.
St Lucie County requires for the final inspection for CO. a Permanent Sticke
the electrical panel box cover, listing all the treatments and dates of applic
Date
must be on the Job
and a re -Inspection
5site posting board
Is completed,
s The Treatment
site location, area
record of
for treatmentsha0
to be placed on
• Termite Inspection ; AJIB17715,775rP
;,,Christ is 72-323-7921
• Termite Pretreatment Toll Free: 1-877-36579990
• Pest Control Fax: 772-340-5990
• Rodent Service Email: Evictabug@gmail.com
• Fire Ant Lawn Service g@g
• Whitefly Treatment 2373 SW Woodridge St.
• Licensed & Insured Li. 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 I FIRE �ATNT SERVICE I T' � TERMITE SERVICE I RODENT EXCLUSION B REMOVAL I VJk11'&EA: ^ TREATMENT ,.
DATE OF SERVICE (/O �r J ' V' V
DEVELOPMENT NAME (PROJECT) CONTRACTORS NAME CON ACT PERSON ' ' ucle
Ph*+het.) r(,l°����rn t1An Conc(-Ai (IRNV Ceunty,
ZIP CODE
k ';A—/t—r I I\_,
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE
DRIVEWAY
❑ CUTOUTS
❑ FOOTER
XFRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT
❑ TAMP'& TREAT
AREAT ONLY
FINAL
❑ POOL DECK
❑ OTHER
PRODUCTS
COUNTY
rl
❑ STEM WALUFOOTERS ❑ ADDITION
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
A BASELINE DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
O �
❑ OTHER
ACTIVE INGREDIENT `MIDACLAPRID ❑BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION . ��// f
❑ .06% ❑ .12% /� 13.2525% J� .05% El23% ❑ 9% ❑ OTHER GALLONS APPLIED /
SQUARE FOOTAGE d S (J / ` LINEAR FOOTAGE
k'YES ❑ NO 9MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
YES ❑ NO DETAILS
As per 104.2.6 FBC- If soil chemical bamer 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 Florid BuildingCode.) �7
If this notice is for the final exterior treatment, initial and date this line 1 f 1 LO '� L�� /
PANEL ❑ WATER HEATER ❑ OTHER
Payment due at time of service.
�
0
Date
Date
Applicator: (EvictA Bug Termite and Pest Cpntrol, Inc.)
Customer (Property Owner or Agent)
www.evictabugpesteontrol.com
�L.
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
CONSTRUCTIONB SOIL TREATMENT
PERMIT #: 1 61 I — 0-366 JOB
BUILDER/CONTRACTOR:T L) a-•i`(� L.c)RQT6-0
PEST CONTROL CONTRAC OR: EVICT-A-BUGTERMrrE& PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
SCANNE®
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: 1915-6_
Percentage of solution:. . 05-
bate of Treatment: Lo — 13 — I Z
Footing
1st Treatment
Re -Treat
'�vewa
1st Treatment
Re-Trea
�dther E
(fist Treatment
Re -Treat
Chemicals used: 1)614f�k00 12 L.
Total gallons used:
Time of Treatment: l
Slab
11t Treatment
Re -Treat
Pools
111 Treatment
,:�- Re -Treat
erimeter for Final Inspection
Signature of
) — 1 "5
Date
Note., More must be a comp/eted form for each required treatment or rl-f ent and this form must be on the Job
site to be picked up by the Inspector at time of each Inspectlon or the scheduled Inspection will fall and a re -Inspection
fee charged.
F8C104.2.6CertlficateofProtectiveTreatment forprevendonoftermites. Aweather resistantjobsiteposting board
shall be provided to receive duplicate Treatment Certificates as each requ/red protective treatment Is completed,
providing a copy for the person the permit is Issued to and another copy for the bullding permit Ales The Treatment
Certificate shall provide the product used, Identity of the appllcator, dme and date of the treatment, site location, area
treated, chemical used, percent concentratlon and number ofgallons used, to establish a verifiable record of
protective treatment. If the soli chemical barrier method for termite prevention Is used, final aderlor treatment shall
be completed prior to Anal bullding approval.
1 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.
7/24/2014