HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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CERTIFICATE OF TERMITE TREATMENT�t (��e
CONSTRUCTION SOIL TREATMENT CO�ay
PERMIT #: 9Al2-- 03 tiC JOB ADDRESS: 102 Kalhe 34�3s77
BUILDER/CONTRACTOR: ?NT &11Irj'1s —
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST 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: S Z
Percentage of solution:.05%
Date of Treatment: 1h chg
_ Foo1 ing
1'` Treatment
Re -Treat
Driveway
1'` Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment: i '. 3 G
Slab
—6_1" Treatment
Re -Treat
Pools
1" Treatment
Re -Treat
Perimeter for Final Inspection
/S
Ig re of Exterminator ate
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.
FBC104.2.6CertificateofProtective Treatment forpreventionoftermites. Aweather resistantjobsiteposting 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 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
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 #: .Q 'JOB ADDRESS:
BUILDER/-0NTRACTOR:
'PEST -CONTROL CONTRACTOR: EVICT-n-BUG TERMI'
PEST CONTROL LICENSE #: J6175775
1k
& PEST CONTROL INC.
We, the undersigned, hereby certify that we have pretreated the above described cc
subterranean termites in accordance with the standards;of the National Pest Control
Square feet if area_treated: 25
Percentage of solution:.05%
Date of Treatment:
Footing
/ 1't Treatment
Chemicals used: DOMINION'2L
Total gallons used:
Time of Treatment:
Slab
1"t Treatment r
Re -Treat
Pools
1s` Treatment
`•. -/�i(neter for Final
Date
.. I
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 4
_ P
FBC104.2.6 Certificate of Protective Treatmentfor-prevention of termites A weather resislantjobsite 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 Treatnent
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 venrrable 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 7/2412014
Termite Inspection
Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
• Licensed & Insured
l 'd3.� �ol
ci
Lic. J6175775
Termite &
Pest
Control,
Inc.
Notice of Preventative Treatment for
(as required by Florida Building Code (FBC) 104.2.6 and Broward
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXi
DATE OF SERVICE a `'�" TIME t S O
�7
TRY Ne:1-877 385.9080
Mr.- 772-340-5999
Email: Evictabug@gmail.com
4293 SW High Meadows Ave.
Palm City, FL 34990
& REM(AVT 113
ST. Lucie
DEVELOPMENT. NAME (PROJECT) . CONTRACTOR'S NAME CONTACT PERSON BNNED
%PAK4-)
STRUCTURE ADDRESS (LOT/BLOCK) - CITY, STATE COUNTY U6ig Goan
N 10/� Rr,.IL IA , .PC)
r � i
TREATMENT TYPEIAREA
7-NA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO ❑ GARAGE
t!DRIVEWAY
❑ CUTOUTS
❑ FOOTER
FRONT ENTRY ❑ RETREAT
❑ BORA CARE TREATMENT
❑ TAMP &TREAT
❑ TREAT ONLY
FINAL ❑ POOL DECK
❑ OTHER
PRODUCTS
❑ BASELINE
(DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑
BORACARE ❑ PREMISE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
ZIP
❑ STEM WALUFOOTERS 11 ADDITION
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TALSTAR
)IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
0.06% 13.1% 0.12% 13.25% g.05% ❑23% 09% ❑OTHER GALLONSAPPLIED
SQUARE FOOTAGE -m/ LINEAR FOOTAGEZ630
SQUARE FOOTAGE VERIFIED
04YFS ❑ NO PQEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
qB1YES ONO
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 I, , P% / Q� I — \ 1
FINAL STICKER
ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms, Payment due at time of service.
Date
C
Date
www.evictabugpestcontrol. com