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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPERMIT #: Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 � q 05-yo5m BY SCANNED St. Luce County CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT JOB ADDRESS: %0 6 V 8 Pine- "-Oh"o BUILDER/CONTRACTOR: %—NT 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: �CsU Percentage of solution:.05ro Date of Treatment: 49w- Zayo Footing 1st Treatment C� ea D e y S't Treatment Other 1st Treatment Re -Treat Chemicals used: DOMINION 2L Total gallons used: Time of Treatment: 21. G v /'Slab— Sst Treatment Re -Treat Pools 1" Treatment Re -Treat xxxxx Perimeter for Final Inspection PAUL C LUGARA JR Ift o byMG L� 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. FBC304.2.6 Certificate of Protective Treatment forprevention of termites. A weather resistantjobsite posing 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 hispection • e5u5 Christ is for — / 72-323-7921 • Termite Pretreatment �® EViet--A-Bug q Tell free:1-811-385-9999 • Pest Control • Rodent Service Termite &feX:112-348=5999 . 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 (as required by Florida Building Code (FBC)104.2.6,105.10 & R318.1 and Broward County Chapter FBC 105.2.2) PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I 86ATMENT DATE OF SERVICE f- Z Z— 7 O TIME 7• o o BY DEVELOPMENT NAME (PROJECT) IF-C-S CONTRACTOR'S NAME % 1 17— CONTACT PERSON 7 7Z Zo / 67s8 STRUCTURE ADDRESS (LOTIBLOCK) CITY, STATE COUNTY NOTES 9C/ �Y/Lvt •tC �%e�G2c'a— C`1 f �� 1t P_ u. Q .� TREATMENT TYPEIAREA V P(f6ti )'t. Z ❑ FLOATING A MONOLITHIC ❑ PATIO ❑ GARAGE lG� L-I'DR�GEWAY ❑ STEM WALUFOOTE ❑ ADDITION ❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS ❑ TAMP 8 TREAT TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER PRODUCTS ❑ BASELINE ,,PZOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR ❑ OTHER ACTIVE INGREDIENT A IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION ❑.06% ❑.1% 13.12% ❑.25% 46.05% ❑23% ❑9% ❑OTHER GALLONSAPPLIED SQUARE FOOTAGE LINEAR FOOTAGE SQUARE FOOTAGE VERIFIED Z42-IES O NO /Al MEASURED OR VERIFIED PER PLANS JOB READY CONDITIONS MET YES ❑NO DETAILS "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.) If this notice is for the final exterior treatment, initial and date this line FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER PaymentTerms: Payment due at time of service. /-zz-zo Dale V Dale ❑ OTHER / Applicator//,, a�d A Bug Termite and PesLCoflrol, Inc.) ' G CCl7` lP1Lr � XT Customer (Property Owner or Agent) . , _ www.evictabugpestcontrol.com Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 RECEIv® FEB 1 2 2020 ST. Lucie County, Permitting CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: R05-052L JOB BUILDER/CONTRACTOR: PEST CONTROL CONTRACTOR: Ev PEST CONTROL LICENSE 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: Percentage of solution:.05% Date of Treatment: X4_t- 6 Footing 1st Treatment Re -Treat Driveway 1st Treatment Re -Treat Other 1s` Treatment Re -Treat Chemicals used: DOMINION 2L Total gallons used: i5 � Time of Treatment: C Note. There must be a completed form for each required site to be picked up by the inspector at time of each inspe fee charged. Slab 1st Treatment Re -Treat Pools 1st Treatment Of Date vent or retreatment and this form must be on thejob or the scheduled inspection will fail and a re -inspection 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 Certfcate 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