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
CONSTRUCTION SOIL TREATMENT
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BUILDER/CONTRACTOR: UoLtrdM (�mPj&
PEST CONTROL CONTRACTOR: EVICT —A -BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: JB175775
SGANNhU
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: 2018
Footing
_moist Treatment
Re -Treat
Driveway
la Treatment
Re -Treat
Other
15t Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment: % ;dU
� Slab
I' Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR eft= d,00i�MVICL m JR
Signature of Exterminator D to
6rvC -R
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 Treatment forprevention of termites. A weather resistantjobsitepostingboard
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.
/�loS o'``yti
Termite Inspection e5,,s Christ;$ for _ '772,•323=7921
Termite Pretreatment ® EVICf A-BI11J tl io11,1ree:1-877-385-9099
Pest Control termite & 18X. 772-348.5990
Rodent Service Pest
Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
- Whitefly Treatment µ. 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.E and Broward-County Chapter FBC-105.2-.2)
PEST PREVENTION gI FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I W�HIITEFLY TREATMENT
DATEOFSERVICE laL,2l/1 g TIME 11,00 i.. � GANNE®
DEVEf�7,(-�PM T NAME (PRODFF,P�T) CONTRACTOR'S NAME � CONTACT PERSON St. Lucie County
/c11e X_. .A YAr Jti 1.� /_-1,4." 11 _ �n _ 11�-_"0
STRUCTURE ADDRESS(LOT/BLOCK)
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NOTES
CGS-
0H
ZIP CODE
TREATMENT TYPE/A
-5
❑ FLOATING
MONOLITHIC
❑ PATIO
❑ GARAGE
ip WAY
❑ STEM WALLIFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT
❑ PLUMBING CUT OUTS 105S OEWALKS
❑ TAMP &TREAT
TREAT ONLY
TrINAL -
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
DOMINION 2LACTIVE
INGREDIENT ❑ TERMIDOR SC
❑ BORACARE ❑ PREMISE
❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ .06% ❑ .1% ❑ .12% ❑ .25% Cb5% ❑ 23% ❑ 9% ❑
SQUARE FOOTAGE 1 n
SQUARE FOOTAGE VERIFIED
Tt7 YES Cl NO
JOB READY CONDITIONS MET
YES ❑ NO
01MIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
lei URED OR VERIFIED PER PLANS
DETAILS
GALLONSAPPLIED 1iSa
LINEAR FOOTAGE 12 S
RECEIVED
NOV 13 2019
ST. Lucie County, Permitting
Asper 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 S rvice . (Per the Florida Building Code.)
If this notice is for the final exterior treatment, Initial and date this line 1i
FINAL STICKER
'frjl ELECTRICAL PANEL ❑ WATER HEATER ❑
Payment Terms: Payment due at dme of service.
I
Date
and Past Control, Inc.)
Date
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com