HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services
Building & Code Regulation Division
2360 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
SCANNED
BY
St. LucieGonfliV
PERMIT #: - OL(OIOJOB ADDRESS: t - —Q-9te P1 3 qo `(S
BUILDER/CONTRACTOR: �LQ
PEST CONTROL CONTRACTOR: EvICT-A-BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: J13+75778
We, the undersigned, hereby certify that. we have pretreated the above described construction for
subterranean termites in accordance w(i/th the standards of the National Pest Control Association.
Square feet if area treated: o` -� 7F Chemicals used: DOMINION 2L
Percentage of solution: •05%
Date of Treatment: c%'- a r
Tooting
1� Treatment
Re -Treat
Driveway
1 Treatment
Re -Treat
_Other
1st Treatment
Re -Treat
Note. There mustbe a completed form for each
site to be pldred up by the lrapectorat time of e
fee d*arged.
Total gallons used: 135
Time of Treatment: -33
_Slab
la Treatment
_Re -Treat
_Pools
for
of
Date
treatment or re-bwbnentand Ws form must be on dre job
c&on or the scheduled inspection W11 fail and a reVnspeaYon
FBC104.2.6 Certificate ofProtecdve Treabnentforprevention of termites A weatherresistantjobsite posting board
shall be proNdad to receive duplicate Treatment Certificates as earn required protective treabnent is completed,
providing a cvpyforthe person fire permitisissued to and another mpyfor the bu11b1n9permltfiles The Treatment
Certificate shall pmWde the product used, identity of the applicator, time and date of the leatment; site location, area
treated, dbem/cal used, pment mncentralton and number ofgallons used, to establlsh a venflab/e record of
protecbYe treatment If the soll chemicafbarrtermethod for termite prevention Is used, final exteriorbeatmentshall
be completed prior to final bdldfng 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 Inspection e5u5 Christ is for . 772-323-7921
• Termite Pretreatment Elrlcf A BOg d Tull RPM 1:8511-365-9990
• Pest Control Termite & A f:172-348-5999
-.Rodent Service Pest
• Fire,Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed &.Insured L1e• JB1575 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)
PESTPREVENTION I FIREANTSERVICE. I TERMITESERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE TIME ?i . 3 O -
v.
DEVELOPMENTNAME(PROJECT) - 1 04- 5(9 CO",CTOR'S NAME, i COWCTPERSON
STRUCTUREADDRESS(LOTBLOCK) n ,, CfTY, STATE r. i _ COUNTY
S ZIP CODE
-e:rnl 1i�2i�iQ<r„6A I errv�f ��t �7Y.::
❑FLOATING
❑MONOLITHIC
OPATIO
0 CUTOUTS
O FOOTER
❑ FRONT ENTRY
❑ TAM P&TREAT
08EATONLY
❑ GARAGE 0 DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITON
O RETREAT ❑ BORACARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
O POOLDECK ❑ OTHER - i—
ROP DUCTS
-
-
O BASEUNE
AMINION 2LACTNE INGREDIENT
O TERMIDORSC ❑ BORACARE ❑ PREMISE
O TALSTAR
FED 112020
❑ OTHER
ACTIVE INGREDIENT
IMIDACLAPRID O SIFENTHRIN
❑ DISODIUM
SLRA�IiAR€rrn
CONCENTRATION
��
13.06%. ❑.1%
❑.12% 0.25% 0.05% 023%
09°%. '00THER GAcLLLOONSAPPLLIED
A
SQUARE FOOTAGE
2-IF, t�t Y/i
LINEAR FOOTAGE a:!
SQUARE FOOTAGE VERIFIED
YES ❑ NO
JOB READY CONDITIONS MET
S ONO
nenSURED OR VERIFIED PER PLANS
730I, —
DETAILS
'Certificate of Compliance^
As per 1042.6,105.10 & R31&1 FBC - If soil chemical barrier method for termite prevention is used.
Final exterior treatment shall be completed prior to final building approval.
Certificate efCompliance: The building has received a complete treahnerd for the prevention of subterranean termites. Treatment is in accordance with rules
and laws established bythe.FloridaDepartment ofAgriculture and Cons erServices.(PertheFloridaBuildingCode.)
If this notice is for the final exterior treatment, initial and date this line y . 2 � / G
FINAL STICrJerakKER `
CTRICAL PANEL 0 WATER HEATER ❑ OTHER
Pavmem Terms: Paymentdwattimeofservim.
fl r
I
Date
Date
�q(Ao--(3-
Planning & 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
PERMIT #: /10A)
BUILDER/CONTRACTOR:
SLANNhU
BY
St. Lucie Count),
JOB ADDRESS: %rIo/�yu�c��c�Yt�rc�P �Y�kS
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: -�33
Percentage of solution:.05%
Date of Treatment: 2019
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 2 YO
Time of Treatment: / (' OQ
KSlab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perim9t6r for Final Inspection
of Exterminator
Note: There must be a completed form for each rhqt r1red 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 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
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