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