HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE (2)i46 Planning & Development Services I N.AY 0 8 2018
Building & code (Regulation Division I ST. Lucie County, Permitting
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
SCANNED
CER79FECATE OF TERNnTE TREATMENT BY
St. Lucie County
CONSTRUCTRON SOIL TREATMENT
PERMIT #: 1903 - of i3 JOB
BUILDER/CONTRACTOR: �Nr
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: J8176775
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: 2 3 �i
Percentage of solution:.oev
Date of Treatment:
�FDOtI -is' Treatment
Re -Treat
Driveway
Chemicals used: DOMINION 2L
Total gallons used: 2 N O
Time of Treatment: 12 ' o O
Slab
,S-15I Treatment
Re -Treat
Pools
1st Treatment SSI Treatment
Re -Treat Re -Treat
Other Perime r Final Inspection
lsc Treatment `
Re -Treat
Sig=abve
a of Exterminator D e
Note. There must be a completed form for each require tntor re -treatment and this form muse 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.
F8c1®4.2.6 Certificate of Protective T uatment for preventlon of termites A weather reslstantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatmentls completed,
provld/ng a copy for the person the permit is issued to and another copy for the bulding 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 mncentradon and number ofgallons used, to establish a verifiable record of
protective treatment. If the soll chemical barrier method for termite prevention Is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie Count9/ requires for the final Inspection for Co, a Permanent Sticker to be placed on
the electricag panel box cover, Olsting a0l the treatments and dates of applications.
1p
-� Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave SCANNED
Kdo; " ' Fort Pierce, FL34982 BY
772-462-2172 Fax 772-462-6443 St. Lucie County
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 0113 JOB ADDRESS:_�_IM �.(��.vk An 14 f
BUILDER/CONTRACTOR: TNT l2„I z, 3ti��Z
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: A a o
Percentage of solution: .05%
Date of Treatment: 71?0/1S
Footing
1s` Treatment
Re -Treat
_Driveway
1' Treatment
Re- re t
Other W1 0
15 Treatm nt
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: .2 b
Time of Treatment: '9) ex:>
Slab
1' Treatment
Re -Treat
Pools
1s` Treatment
Re -Treat
et for Final Inspection
G,_Perlm
a of E terminator Date
Note. There must be a completed form for each required treatment or re-treabment 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 Certificate of Protective Treatment for prevention of termites. A weather resislantjobsite posting board
shal/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 bu//ding permit files. The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site locaton, area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective treatment. ff the soil chemica/barrier method for termite prevention /s 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.
o...J.._a 11GA Yfn..
mr;zwl
• Te�mitalnspection o JeS�s christ is lortl - 72-323w7921
• Termite Pretreatment �'� o f
a •Pest Control �� tioti u1Ct Bug Bug fPCe:1-977-385.9099 Q
ti e� Termite & fak 772-249.5999
• Rodent Service P�vv1 oeQo Pest
• Fire Ant Lawn Service oA«c WWI, Email: Evictabug@gmail.com
• Whitefly Treatment J` Inc. 9
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 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FI /EpA,NT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE 0; I l TIME SCANNED
DEVELOPMENT —NAME (PROJECT) CONTRACTOR'S NAME / CONTACT PERSON BY
�1�/ /� I c✓P - St. Lucie Count
STRUCTURE ADDRESS (LOT/BLOCK) 1 f 7 /i, n/L/ _ y�� TICITY, STATE COUNTY
T}�
NOTES
F
`
ZIP CODE
l � (��, -
4- I r�3-cr17
�(S 8 2
�e..r,C,,,
C(44 � � PC�
TREATMENT TYPEIAREA / J
/
❑ FLOATING
--//
MONOLITHIC E PATIO ,
GARAGE DRIVEWAY
❑ �]
❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
O FOOTER rRGNT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT
❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT
ff TREAT ONLY ElFINAL
II/
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
f$ DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE
❑ TALSTAR
❑ OTHER //
ACTIVE INGREDIENT E IMIDACLAPRID O BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
c
❑ .06% (3.1 % ❑ .12% ❑ .25% .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED �Q
SQUARE FOOTAGE , e o 2 LINEAR FOOTAGE —jam
SQUARE FOOTAGE VERIFIED J�/Jv✓/ N� 1 �D,3 L
YES 0 NO MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
0 YES ❑ NO DETAILS
Asper 104.2.E 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 .A
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
V-7 �/ //'� — 7' '1— -- —"
Dates j Applicato wctAB
and Pest Control, Inc.)
Date P66omer(Pr6lerty Owner or Agent) .""O.mun,nuuw"�'
www.evietabugpestcontrol.com