HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESChr• V I�
• Termite Inspection W71
0172-323-7921
• Termite Pretreatment T011 free:1-811-385.9999
• Pest Control feN:11Z-340-5990
• Rodent Service • Fire Ant Lawn Service Email: Evictabug@gmail.com
• Whitefly Treatment 4293 SW High Meadows Ave.
• Licensed & Insured Lic. JIB175Palm 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 FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I VSCMTMENT
DATE OF SERVICE �� TIME _ 10 , Cb BY
DEVELOPMENT NAME (PROJECT) COOTRACTOR'S NAME a CONTACT PEER"S"ON
'j04 1H01tlC�r /PrA / I!✓iG� / i r0&4(Ao
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STAT COU TY
is a,lct-t- P «d C P
NOTES 'n ZIP COD
TREATMENT TYPEIAREA
❑ FLOATING
O'MONOLITHIC
❑ PATIO ❑ GARAGE
❑ DRIVEWAY
❑ STEM WALLIFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY ❑ RETREAT
❑ BORA CARET EATMENT
❑ PLUMBING UTOUTS ❑ SIDEWALKS.
❑ TAMP & TREAT
r�,+.l TREAT ONLY
f
❑ FINAL ❑ POOL DECK
O OTHER S� ttclt Q/t�rLL
dl�F'
PRODUCTS
❑BASELINE 8DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT t IMIDACLAPRID O BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION r
❑ .06% ❑ .1% I7 .12% ❑ .25% � .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED 10
SQUARE FOOTAGE FOOTAGE too LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
YES ❑NOl MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
b 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.) — 111
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
O ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
Date t
ro-
Termite and Pest Control, Inc.)
Date Custom✓"er (Prolferty Owner or Agent) ""'G
www.evictabugpestcontrol.com
"t.
Nov 3019 03:00p Hometec C�rhactors Inc 772-288-2139 p.2
RECEIVED
_ Planning & Development Services DEC 0 2 2019
Building & Code Regulation Division
2300 Virginia Ave ST. Lucie County, Permitting
W' Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: -JOB ADDRESS: ����rcy '�T��e�c�
BUILDER/CONTRACTOR: �^r c "p-te r �i�'GAr7[I�8 pp
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC, S
PEST CONTROL LICENSE #:
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: ` L r
Chemicals used: DOMINION 2L
Percentage of solution; .051- Total gallons used:
l.4�o
Date of Treatment: -11 J27-2019 Time of Treatment: ; O e
Footing Slab
In Treatment 1" Treatment
Re -Treat Re -Treat
1L Driveway. Pools
ITreatment
Sc '
L 1 Treatment
Re-Trea Re -Treat
th
r ovt�y tfi% X Perimeter f Final Inspection
1� Treatment
Re -Treat 2
Sign a Exterminator Date
Note. Theremust be a completed form for each require meet or re -treatment and this form must be on the fob
site to be picked up by the inspector at time of each inspectlon or die scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6CerdricateofProtective Treatmentlarprevendonoftermites Aweather resistantjobsiteposting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the pevmk 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 venrrable record of
protective treatment. If the soil chemical barriermethod 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.
ACMVU /JIWLV14
Aug 0519 04:21 p Hometec Contrs Inc 88-2139 p.2
1 joy - '0
y
Planning & Development -Services SCANNED
S _ J' Building & Code Regulation Division BY
® 2300 Virginia Ave St. Lucie County
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:
BUILDER/CONTRACTOR:
ADDRESS: Sl-[C) .g2,-c4 I
'zvtcf j ri gsotlr�l
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITES PEST
PEST CONTROL LICENSE*: JB175775
INC.
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: .osv
Date of Treatment:
Foodng'�
In Treatment
Re -Treat
Driveway
Vt Treatment
Re -Treat
Other
Is' Treatment
Re -Treat
-2019
Chemicals used: DOMINION 2L
Total gallons used:
Time of Treatment:
Z a�O
�= 3a
Is' Treatment
Re -Treat
Pools
is' Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C 1UGARA JR mi�axioiu ni,• w�''�
Signature of Exterminator Date
Note: There must be a completed form for each required treatment or re-treatmentand this form must be on thejob
site to be picked up by the Inspector at time ofeach 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 reslstantjobsite posting board
shall be provided to receive duplicate Treatment CetVlcates 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, identify of the ap#lcator, 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
Aug 05 19 04:21 p HornetecContr�rsInc
•Termite Inspection
• Termite Pretreatment
• Pest Control
Rodent Service
• 1=1re Ant Lown 99r'UICe
I
288 2139 PA
77 2-323-7921
IS �°`�
Toll Free:1•B11-365-9990
Bug
Fax: n2.3140.5990
Termite &
Pest
Email: Evictabug@9 mail com
Control,
Inc.
4293 SW High Meadows Ave.
palm City, FL 34990
• Whitefly Treatment Lic JB175-nB
• Licensed & insured Notice of Preventative Treatment for Termit d Broward CountyChapter FBC
(as required by Florida Building Code (FBC) 104.2.8 a a DENT EXCLUSION 8 REMOVAL
I TERMITE SERVICE t
PEST PREVENTION: Ir FIRE ANT SERVICE^
- TIME
DATEOFSERVICE ✓ CONTACT PERSON
,NTR(lCTOR'S NAME , , __2 - c ,. ',
DEVELOPMENT MINE (FROIECT)
c.
CITY STATE
STRUCTUREADDRESS(
- .-t•,
.
NOTES
TRFATLIEN�
❑ GARAGE
❑DRIVEWAY
Q FA110
❑ BORA CARETREATMENT
❑ FLOATING
FRONT
❑ FROM
ENTRY Cl RETREAT
.�� FCOTER
Cl CuTOUTS
❑POOL DECK
❑OTHER
❑TAMP&TREAT p'TREATONLY
] FiNAL
-
WF11TEMAR TEV
COUNTY
Q/J
❑ PLUMBING G'JT OUTS ❑SIDEWALKS
PRODUCTS
AI
C1 BASELINE ,]DOMINION 2LACT.IVE INGREDIENT ❑ TERMIDORSC ❑ BORACARE ❑PREMISE ❑ TALST
❑OTHER OIMIOACLAPRID ❑BIFENTHRIN ❑ DISODIUM OCTABCRATETETRAHYDRATE
ACTIVE INGREDIENT _ _
CONCE�ON
GALLONS APPLIED f
FQ"..e5q Li ❑9h POTHER_ _
❑.Ofi% �•1% 0.72°m �.25Y LINEAR OTAGE
SQUARE FOOTAGE
^UARE FDOTo�VERIEIED
,ZrYES ra NO
JOS READY CONDITIONS NET
,16 YES ❑ NO
I MEASu4FD cR vF%P1.0 PER PAS
As per 1042.6 FBC • If soil chemical barrier method fortermite prevention is used. Final exterior treatment shall be completed priorto final Dunning approval.
Certificate of Comolianee: The building has received a complete treabnentfor 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
Qpymed Terms Paymentduealtimeolserion.
c
Dale
Data
❑ OTHER
Applicator. (Evict A Bug Termite a-d.Pest Control, Inc.)
Customer (Property Owner or Agent)
YoNmevictabu9pestcontrol.00m
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
6"a Fort Pierce, FL 34982 SCANNED
772-462-2172 Fax 772-462-6443 BY
CERTIFICATE -OF TERMITE TREATMENT
CONSTRUCTION CONSTRUCTION SOIL TREATMENT
PERMIT #: 806 - 62 V JOB
BUILDER/CONTRACTOR:
:.S�(lo 49Irc4_2i2 _ q8$ _
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE&
PEST CONTROL LICENSE #: JB175775
CONTROL INC.
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: (0 U' Chemicals used: DOMINION 2L
Percentage of solution:.05%
Total gallons used: (O
Date of Treatment: W01- !n7 Time of Treatment: to S 06
Footing Slab
1st Treatment 1't Treatment
Re -Treat Re -Treat
Driveway Pools
1st Treatment 1�` Treatment
Re T eat q /� Re -Treat
Other C� Z �d-2Pr`� QP%ea. ;re
ri eter for Final Inspection
1 Treatment
Re -Treat
Ig of Exterminator Date
Note. There must be a completed form for each required treatment orre-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 CefVrlcate of protectve Treab lent for prevention of to Mes. A weather res/stantjobsite post/ng board
shall be provided to receive duplicate Treatment Certificates as each required protective treabnent is completed,
Providing a COPY for the person the permits issued to and another copy for the building permitf/les. 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.