HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESBuilding & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
�Dl , CQ§ ERTIFICATE OF TERMITE TREATMENT �l 190-
CONSTRUCTION SOIL TREATMENT �e116 e�-�Fd
A)(,& Nwse c0,
PERMIT #: r JOB ADDRESS: ��70� �jle�� Alec' a2-
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: J8175775
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?'3v
Percentage of solution:.05%
Date of Treatment: 2018
Footing
1st Treatment
Re -Treat
Driveway
1'` Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: /O'_5'
Time of Treatment: / //.rerO
Slab
1s` Treatment
Re -Treat
Pools
1s` Treatment
Re -Treat
xxxxx PerimeI Inspection
PAUL C LU9AI
SignatuP6 of
Date
�/J
Note. There must be a completed form for each required trea*for 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 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
Oct 16 19,12:20p rrauunr M Y=VCIV urnua anrVALM (L� P•1
gilding &Code Regulation Division neCEMD [q67),0 (�
2300 Virginia Ave019
_Fort Pierce, FL-34982 — OCI 1 -
772-462-2172 Fax 772-462-6443 Department
Permitting
5t. dude CounSCANNEQ
CERTIFICATE OF TERMITE TREATMENT St. Lucie County
CONSTRUCTION SOIL TREATMENT
PERMIT #: ICt l -O a 2D OB AC,�DR SS: /eo'
BUILDER/CONTRACTOR: aUt ./jrr�
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: !?�Z Chemicals used: DOMINION 2L
Percentage of solution: -06%
Date of Treatment: �d zols
Footing
1' Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
Other
Vt Treatment
Re -Treat
Total gallons used: f2aS�}�
Time of Treatment: .4
Slab
1st Treatment
Re -Treat
Pools
—I-"Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR °1pWr"m'•eer onmcwasa��x /v' ! / Dab:]Of A.t=,PAVLCL, W
Signature of Exterminator 6ate
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 fall and a re -inspection
fee charged.
FBC104.2.6 Certieate of Protective Treatmentforprevention of termites. A weatherresistantjobsite postingboard
shall be provided to receive duplicate Treabnent Certificates as each required protective treatment is completed,
providing a copy for the person the permitis Issued in 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 ofgallons 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.
Oct 16 19, 12:20p
..'
— — — — — SCANNED- - — — — —
• Termite Inspection L75 Christ is L BY t772-323-7921
Qz �tl Lucie ,pun
Frelleotment Fuirt•0•Ann roll free.1-071-366.9990
I Vf �lif
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
[UK: 772-349.5090
Email; Evictabug@gmail.com
4293 SW High Meadows Ave.
• Licensed & Insured Lic. J8175775 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 ,FIREANTSERViCE I TERMITESERVICE 1 RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE � - TIME
DEVELOPMENT,NAME(PROJECT)' CQNTPACTOR'S NAME CONTACT PERSON
STRUCTUREAbDRESS(LOTIBLOCK) _ CITY, STATE COUNTY.
NOTES
ZIP CODE
❑ FLOATING
❑ MONOLITHIC ❑ PATIO
❑ GARAGE ❑ DRIVEWAY
❑ STEM WALUFOOTERS ❑ ADDITION
❑CUTOUTS
❑FOOTER ❑FRONT ENTRY
❑RETREAT ❑ BORA CARE TREATMENT
❑ PLUMBING CUT OUTS ❑SIDEWALKS
❑ TAMP &TREAT
❑TREAT ONLY &FINAL
❑POOL DECK ❑OTHER
PRODUCTS
❑ BASELINE
❑ DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE
❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
CQNQENTRATION
❑.C6% ❑.1% 0.12% 13.25% 6.05% 023% 09% ❑
b YES
I
J NO
JOB READY CONDITIONS
MET
1
DYES
ONO
L1:IMIDACUAPRID ❑BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYORATE
❑ MEASURED OR VERIFIED PER PLANS
GALLONSAPPLIED r v`
LINEAR FOOTAGE
As per 1D4.2.6 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 Flodda Building Code.)
If this notice is for the final exterior treatment, initial and date this line
FINALSTICKER
Q;ELECTRICAL PANEL ❑WATER HEATER Cl OTHER _
Pavmentierms' Payment due at eme ofsenice. _
_ '
,Upunnuw:: y,
�ypMrrrM(aj;
Date Applicator. (EvictA Bug TomM10 and7Pes onlrol, Inc.) I
`rl
Dale
www.evictabugpostcontrol.com