HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE (2)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 #: l Q?, 5 `) ]I
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #: JB175775
SCANNED
BY
St. Lucie Counh,
ADDRESS: 3 `#G— 4 �S 64105 Gf%/
& 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.
Square feet if area treated:
Percentage of solution:.05%
Date of Treatment: �- / ,1
noting
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: Zo
Time of Treatment: /r}—f O
Slab
Treatment
Re -Treat
Pools
1' Treatment
e-Treat
Pe ter for Final Inspection
of
Date
Note. There must be a completed form for each required trkatment or re -treatment and this form must be on the jab
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 Cedificate of Protective Treatment forprevention of termites. A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment /s completed,
providing a copy for the person the permit /s issued to and another copy for the building permit fi/es The Tieatment
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 establ/sh a verifiable record of
protective treatment. If the soil chemical barr/er 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
0
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 #: 1812-0367
JOB ADDRESS: 3 Los Gatos Ln. PSL FI 34952
BUILDER/CONTRACTOR: WYNNE DEVELOPMENT
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
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: 200 LF
Percentage of solution: .05^i
Date of Treatment: 06-26-2019
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 100
Time of Treatment: 10:00
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR ft="," aI,; C .'R 09-06-19
Signature of Exterminator 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 resistant jobsite 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 ropy 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.
Revised 712412014
SCANNED
BY
St. Lucie County
' e5U9 Christ is loFtl ��
Evict -A Bug
" Termi!e 8
Pest Lic. JB175775
® Control,
Inc.
Dna4 Provan4inn Termite Protection
THIS NOTICE POSTED PURSUANT TO SECTION 104.2.7, FLORIDA
BUILDINO,'nnFAND CAIAPTER 448�2 FLORIDASTATU, ES
Date of 0 ins ction (If Ma e) ❑ Evidence ❑ Activity Ac tivlty
o00Treatment r of Materials Used
Date of Final Exte for Treatment ro y�� Materials Used
0i
Wood Destroying Organisrinffeaded For
This property has been treated and placed under a retreatmenthepair contract for subterranean
termites. This contract is renewable by payment on annual fee. The owner is hereby advised to
have this property inspected annually by Evict -A- Bug Termite & Pest Control, Inc.
_ a i
Evict -A- Bug Termite & Pest Control, Inc. provided the termite protection
on this property. CALL US regarding our Past Prevention, Fire Ant lawn
Service and Rodent Service.
772-323-7921 • 1-877-365-9990FmEa
www.evictabugpestcontrol.com - evictabug@gmail.com
4293 SW High Meadows Ave. • Palm City, FL 34990
CaU 1a '0111181e Yaw Termite 898118111ee
U
• Termite Inspection
.1e5 J, Christ is loIr
• Termite Pretreatment
Me A-Bup
• Pest Control
Termite &
• Rodent Service
Pest
• Fire Ant Lawn Service
- Control,
• Whitefly Treatment
Inc.
• Licensed & Insured
Lic.JB175775
�P31,��p3-b=7
V72-323-7921
Tall [PER.- 1-811-395-9999
fax:11Y-349-5999
Email: Evictabug@gmail.com
4293 SW High Meadows Ave.
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
DATEOFSERVICE 4C TIME ,-.�'• OG
NAME (PROJECT)
STRUCTURE ADDRESS (LOT/BLOCK)
NAME
STATE
NOTES
4)9(L �3s-7
ZIP
E.��
/ /!r.lil.�&
"e�LL�
TREATMENT TYPE/AREA
y
❑ FLOATING
1 MONOLITHIC
TIO
❑ GARAGE O%DRIVEWAY ❑ STEM WALLIFOOTERS
El ADDITION
0 CUTOUTS
�O FOOTER
❑ FRONT ENTRY
ElRETREAT !❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS
❑ SIDEWALKS
❑TAMP & TREAT
I V-TREAT ONLY
❑ FINAL
❑ POOL DECK; �;?�' ❑ OTHER
PRODUCTS
❑ BASELINE P DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE
0 OTHER
ACTIVE INGREDIENT
CONCENTRATION
CYIMIDACLAPRID 0 BIFENTHRIN
❑ .06% ❑ .1% ❑ .12% 0 .25% d .05% ❑ 23% ❑ 9% ❑ OTHER,
SQUARE FOOTAGE 200,
SQUARE FOOTAGE VERIFIED
)Y�f YES ❑ NO
JOB READY CONDITIONS MET
7 YES ❑ NO
0 MEASURED OR VERIFIED PER PLANS
DETAILS
LINEAR FOOTAGE
❑ TALSTAR SCANNED
St. Lucre County
❑ DISODIUM OCTABORATE TETRAHYDRATE .. .
GALLONS APPLIED 2c
Asper 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.) _ M
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.
Date
❑ OTHER
App)iu o .victA Bug Termi a and Pest Control, Inc.)
—P/A
Date
C4stomer (Property Owner or Agent)
www.evictabugpestcontrol.com