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Home My WebLink AboutCERTIFICATE TERMITE TREATMENTPlanning & Development Services Building & Code Regulation Division 3300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-463-64443 C:C�i—Ii�IC�T� C?i —� i=�s`,e'�; i:—1�'';1:k1—(E•':i=i�i f Cfi?l'STf-'UCT17 ' Sl•�I'....i �ti=n-i •1Eivf PERMIT #: I ? 1/-' U l (v A JOB BUILDER/CONTRACTOR: PEST CONTROL CONTRACTOR: PEST CONTROL LICENSE #: J817577F 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: M, Percentage of solution: •os^i> Date of Treatment: Footing �_is' Treatment Re -Treat Driveway 1st Treatment Re -Treat Other 1st Treatment Re -Treat Chemicals used: DOMINION ZL Total gallons used: 2 �0 o Time. of Treatment: 'Y�o Slab Treatment Re -Treat Pools 11t Treatment Re -Treat Perimeter for Final Inspection Siq,45aifure of Exterminator Dade Note; There must be a completed form for each required treatment or re -treatment and this farm must be on the job site to be picked up by the Inspector at time of each Inspection or the scheduled Inspection will fall and a re -Inspection fee charged. FOCID4.2.GCertlflcateofPmtectIve7?,eatmentfOrPreventlon of termites. Aweather resistantjobs&posting board shall be provIded to receive dupllcate Treatment Certlflcates as each required protective treatment Is completed, providing a copy for the person the permltls Issued to and another copy for the building permit fl/es The Treatment Certiflcate 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 vadflable record of protective treatment. If the soil chemical banter method for termite prevention is used, Mal exterior treatment shall be completed prlor to frnal bullding 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. R 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 #: 15(z 1 CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC. CONTROL LICENSE #: JB175775 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: OC% Percentage of solution:.05% Date of Treatment: 2"8- �9 Footing 1st Treatment Re -Treat Driveway k_ 1st Treatment Re u Other Nea /0 _?LI' Treatment Re -Treat Chemicals used: DOMINION 2L Total gallons used: 2t> Time of Treatment: Li , O o Slab 1st Treatment Re -Treat Pools 1st Treatment Re -Treat xxxxx Perimeter for Final Inspection PAUL C LUGARA JR�gN","o;s;o�',.12.41 ;„„""I �A/ f q Signature of Exterminator I 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 forprevention 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 fifes. 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 CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. Revised • Termite Inspection e505 Christ isfor 72-323-7921 • Termite Pretreatment EVICt-A-HUI a T®11 free:1-877 385-9999 •Pest Control Termite & [K 772-349.5999 • Rodent Service .< Pest • Fire Ant Lawn Service -- Control, Email: Evictabug@gmail.com • Whitefly Treatment Inc. 4293 SW High Meadows Ave. • Licensed & Insured Lic. JB175775 Palm City, FL 34990 Notice of Preventative Treatment for Termites (as required by Florida Building Code (FBC) 104.2.6,105.10 & R316.1 and Broward County Chapter FBC 105.2.2) PEST PREVENTION I / FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT a l ( 00 DATE OF SERVICE I TIME • NOTES ❑ FLOATING 1rr1 ONOUTHIC v-PATIO ❑ CUTOUTS O�OOTER ❑FRONT ENTRY ❑ TAMP & TREAT TREAT ONLY ❑ FINAL PRODUCTS ❑ BASELINE iDOMINION 2LACTIVE INGREDIENT ❑ OTHER ACTIVE INGREDIENT CONCENTRATION NAME CITY, ❑ GARAGE O DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS ❑ POOL DECK ❑ OTHER SCANNED BY ❑ TERMIDORSC ❑ BORACARE ❑ PREMISE ❑ TALSTAR St. Lucie County �'IMIDACLAPRID O BIFENTHRIN ❑ .06% O .1% ❑ .12% ❑ .25% �.05% ❑ 23% ❑ 9% ❑ OTHER. SQUARE FOOTAGE mov SQUARE FOOTAGE: VERIFIED (ONES ❑ NO 19 MEASURED OR VERIFIED PER PLANS 'JJOOBB READY CONDITIONS MET L1 YES ❑ NO DETAILS ❑ DISODIUM OCTABORATE TETRAHYDRATE GALLONSAPPLIED 20 "Certificate of Compliance" As per l04.2.6,105.10 & R316.1 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 ItI FINAL STICKER ❑ ELECTRICAL PANEL ❑.WATER HEATER Payment Terms: Payment due at time of service. Data r ❑ OTHER Date Customer (Property Owner or Agent) E www.evictabugpestcontrol.com