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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services RECEIVED
Building & Code Regulation Division
• 2300 Virginia Ave MAY 21 2019
•AN Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 ST. Lucie County, Permitting
CERTIFICATE OF TERMITE TREATMENT SCANNED
- BY
CONSTRUCTION SOIL TREATMENT i1 St. Lucie County
PERMIT #: JOB ADDRESS: �%SP6LiR li�c-2
BUILDER/CONTRACTOI7R::I A0i I4ec _ YS'y
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: • Chemicals used: DOMINION u
Percentage of solution: .05%u Total gallons used:
Date of Treatment: 2018 © Time of Treatment:
�'- �
oting ` lab
251't Treatment '2�lst Treatment
Re -Treat Re -Treat
Driveway Pools
—1st Treatment 1st Treatment
Re -Treat Re -Treat
Other xxxxx Perimeter for Final Inspection
let Treatment /
Re -Treat PAUL C LUGARA JR
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 Treabment 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 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 CID, 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 & Cade Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
JAN 0 2 -
ST. Lucie County, Permlttin
CONSTRUCTION SOIL TREATMENT SCANNED
BY
Lucie C,qunty
PERMIT #: %�l y' ©��"� JOB ADDRESS: 9'®5S � P/��,�� (Q�i 4�6'ievC-2 _
BUILDER/CONTRACTOR: ?0fi &,,
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE $ PEST CONTROL INC.
PEST CONTROL LICENSE #: JBI75775
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: �Qo
Percentage of solution:.05%
Date of Treatment: `_O
Footing
1' Treatment
Re -Treat
Driveway
1' Treatment
Re Treat
Other
_�1 Treatment
Re -Treat
Chemicals used: oOMINION2L
Total gallons used: I-/ 0
Time of Treatment: l ` O co
Slab
1' Treatment
Re -Treat
Pools
1't Treatment
Re- t-
xxxxx Perim r r Fi nspection
Ignature of erminator 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.
FBC304.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment CertlArates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another copy for the bul/ding permit files. The Treatment
Certificate shallprovide 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.
aka. v.Jt.0 / (GY/G V 1Y
• Termite Inspect" •ion�l%`Ty�k LJs Christ is �ottl - r r r2-323-792.7
• Termite Pretreatment ® fdet A -Bug Tall free.1-917-365-9999
• Pest Control Termite & faX:11Y-346-5996
• Rodent Service Pest
• Fire Ant Lawn Service - Control, Email: Evictabug@gmaii.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 /q I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE /iCIla TIME (( ' O r-
DEVELOPM NIT NAME (PROJECT) CONTRACTOR'S,(JA �I n CONTACjOPE`1i0 Z 3 23 7 7
STRUC{URE ADDRESS (LOTIBLOCK) -S COUNTY,cv-o
NOTES BY (7/ U•%•t/fJC/-(,�, �J CCilr/ C/J UUUl J ZIP C✓ODDEC•/•l
E
❑ FLOATING y^� MONOLITHIC
❑ CUTOUTS FOOTER
❑ TAMP & TREAT Ls10
TREAT ONLY
❑ PATIO ❑ GARAGE J.2 DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS �HIDEWALI
❑ FINAL ❑ POOL DECK ❑
PRODUCTS JAN 0 2 Q20
❑ BASELINE /DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TAL TAR
❑ OTHER V ST. Lucie County, Permitting
"ACTIVE INGREBII:NT"'"� -"IIMIDACLAPRID L❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .O6% ❑ .1% ❑ .12% I❑/.25% (9 .O5% ❑ 23% ❑ 9% ❑OTHER GALLONS APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
lfl YES ❑ NO }] MEASURED OR VERIFIED PER PLANS
V
❑ YES ❑ NO DETAILS
i
"Certificate of Compliance"
As per 104.2.6,105.10 & R318.1 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.) rL�, 13�
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
1
Bug Termite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com