HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT SCANNED
CONSTRUCTION SOIL TREATMENT BY
St. Lucie County
PERMIT #: )%. - LIEK JOB ADDRESS: K Med'r24
BUILDER/CONTRACTOR: on W
PEST CONTROL CONTRACTOR: EVICT-A-AUG 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: ���i'o Chemicals used: DOMINION 2L
Percentage of solution: .05%u Total gallons used: %00
Date of Treatment: Time of Treatment: l
Footing
1st Treatment
Re -Treat
Driveway
lt Treatment
Re -Treat
Other
1" Treatment
Re -Treat
Slab
1't Treatment
Re -Treat
Pools
1s` Treatment
Re -Treat
VPierlm,eter f yFinans coon
SiTnaturt of Extern ator t
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 Ye -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 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
• Termite Inspection Je5�5 Christ is lorq 772-323-7921
Termite Pretreatment EVICf-A-Bug Toll Free:1-811-365-9999
• Pest Control �� Termite F2X:112-340.5990
Rodent Service Pest
Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. JB175775 Palm City, FL 34990
Notice of Preventative Treatment for Termites
Y, (as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2) _
PEST PREVENTION ll I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I /WHITEFLY TREATMENT
DATE OF SERVICE O(I' i "V TIME G J/�,r�n(^I—
DEVF�OPMENT NAME (PROJECT) CONjRACTONS NAME I V ' / V, ' 1 C�OtITACT PERSON/ I V
ADDRESS (LOTIBLOCK) I• CITY, STATE
NOTES
P,z I- 1 ? t! �q
TREATMENT TYPEIAREA
I
'
❑ FLOATING
I3WONOLITHIC ❑PATIO
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS
El ADDITION
❑ CUTOUTS
❑ FOOTER ❑ FRONT ENTRY
0 RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS
❑ SIDEWALKS
6PSAMP&TREAT
El TREAT ONLY ❑FINAL
❑POOL DECK ❑OTHER
SGAAINED
PRODUCTS
BY
St. Lucie County
❑ BASELINE
INGREDIENT
❑ TERMIDORSC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
pkDOMINION.2LACTIVE
0
ACTIVE INGREDIENT
CONCENTRATION
— 1DACLAPRID OBIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .1% ❑ .12% ❑ .25% ,((-*05% ❑ 23% ❑ 9% ❑ OTHER GALLONSAPPLIED I C'7—
SQUARE FOOTAGE LINEARFOOTAGE
SQUARE FOOTAGE VERIFIED
¢tYES ❑ NO I E]\MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET 1�
! A(ES ❑ NO DETAILS
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.) ih
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.
2
Date
Date
www.evictabugpestcontr6l.com