HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
0
SCANNED
BY —
St. Lucie Countv
PERMIT JOB�,D%ESS: SZ�3BUILDE CONTRACTOR: i(irt ( —
PEST CO TROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CO TROL LICENSE #: JB175775
We, the un ersigned, hereby certify that we have pretreated the above described construction for
subterrane in termites in accordance with the standards of the National Pest Control Association.
Square feet if area treated: .69,� Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: Z 2 O
Date of Tretment: 7Ql Time of Treatment: 1 2 -O C)
?!� Slab
n Treatment > 1s` Treatment
le -Treat Re -Treat
/ Pools
n Treatment 1t Treatment
.e-Treat Re -Treat
Peri r for Final Inspection
� Treatment
.e-Treat /2
S' nO ure of Exterminator D
Note. There)must be a completed form for each requitetreatment or re -treatment and this form must be on the job
site to be p1dred 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 for prevention of termites. A weather resistantjobsite posting board
shall be proy ded to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a c 9py for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificate sA allprowde the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chet Wcal used, percent concentration and number of gallons used, to establish a veririable record of
protective tre atment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completee if prior to final building approval.
St Lucie Cc unty 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
• Termite Pretreatment
• Pest Control °
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
12-323-7921
Toll f m-1-911395.9909
° far 772-348-5999
Email: Evictabug@gmail.com
Lic. JB175775 �� . 4293 SW High Meadows Ave.
Licensed & Insured Palm City, FL 34990
Notice of Preventative_ Treatment for Termites _
(as required by Florida Building Code (FBC)104.2.6 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I IFIRE ANT SERVICE I TERMITE. SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLYTREATMENT
DATE OF SERVICE Zz / TIME Q •�%� SCANNED
DEVELOPNjEryT NAME.(PROJECT)
/�/,(
CONTRAMR''"AME '
/AVII'r llAif l i I
- A
Kl>
GQ�TACT PERSON
&"'j P -
sit. Lucie County
STRUCTURE ADDRESS (LOTIBLOCK
5 �3
) o lo_
CI STATE
1
S s
OU TY
,.��.�P
NOTES _ /
A .! A
� \
-
DE
V r, m'
L, X
❑ FLOATING
❑ CUTOUTS
'El'TAMP & TREAT
PRODUCTS
❑ BASELINE
❑ OTHER
131'MGNOUTHIC
❑ PATIO
❑ GARAGE
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ TREAT ONLY
❑ FINAL
❑ POOL DECK
ACTIVE INGREDIENT
,Q DOMINION 2LACTLVEINGREDIENT
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ OTHER
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
I6IMIDACLAPRID O BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION c �
❑ .06% ❑ .1% ❑ .12%, ❑ .25% d .05% ❑ 23% ❑ 9% El OTHER GALLONS APPLIED / 2 n
� SQUARE FOOTAGE _' I 1 R a LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
IiI YES ❑ NO MEASURED OR VERIF PER PLANS
JOB READY CONDITIONS MET U
C(YES ❑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.)
If this notice is for the final exterior treatment, initial and date this line A
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms, Payment due at time of service.
I
Date Zpplicator. ( ct Bug Termite and esl Control, Inc.)
Date omer(Prone Wne oVAaent)
www.evictabugpestcontrol.com