HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE�qc) �'-Mm
Planning.& Development Services
e' Building & Code Regulation Division
COUNTY2300 Virginia Ave
L 0 R I D AFort Pierce, FL 34982 SCANNED
772-462-2172 Fax 772-462-6443 BY
CERTIFICATE OF TERMITE TREATMENT St.LudeOr w*,
CONSTRUCTION SOIL TREATMENT
PERMIT #: -JOB ADDRESS: t2 i5- ?41for Puor c )c
BUILDER/CONTRACTOR: R D R, r nr., rua!�:Un
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: J13175775
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: Chemicals used: DOMINION 2L
Percentage of solution:.05%
Date of Treatment: -2019
Footing
1st Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
Other
1' Treatment
Re -Treat
Total gallons used:.3O
Time of Treatment:
Slab
1s` Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
xx Perimeter for Final Inspection
PAUL C LUGARA 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.
FBC104.2.6 Certificate of Protective Treatmentforpreventicn of termites. A weather resistantjobsiteposYng 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 ofgallons used, to establish a verifiable record of
Protective treatment. If the soil chemical barrier method for termite prevention is used, final exterlor 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.
Vn Ad AOJIA MAIe
• Termite Inspection e5.5 Christ is for *72-323-7921
• Termiie Pretreatment �® EuletA-Bug d Toll frog.1-877-285-9890.1
• Pest Control Termite &
• Rodent Service - Pest 12x:172-249-5899
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured 1-IC.JB175775 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 FIREANTSERVICE I TERMITE SERVICE I RODENT )=XCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE IO ' �'� / TIME
DEV LOPMENT NAME (PROJECT)
CONTRACTOR'S NAME
CONTACT PERSON
r-;7 t-nC Re'5
2
STRUCTURE ADDRESS (LOT/BLOCK)
L1tl
CITY,STATE
COUNTY
LX/
f7
uS/
/ cI`,
NOTES
ZIP CODE
(-h,9�.t _Qcra e
� "ho .r/c
3I1Q Po
TREATMENT TYPE/AREA
V
!;7 r, )k ,, /T
/', /'cS
❑ FLOATING MONOLITHIC
❑ PATIO
ITGARAGE
CUTOUTS ZLW&T�
❑ FRONT ENTRY
Cl RETREAT
❑ TAMP & TR TREAT 0
❑ FINAL
❑ POOL DECK
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGREDIENT
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ BORA CARE TREATMENT LUMBING CUT OUT ❑ SIDEWALKS
❑ OTHER
SCANNED
❑ ❑ DOMINION 2LACTIVE INGREDIENT TERMIDOR SC BORACARE El PREMISE ❑ TALSTAR I�/
Y
Bt,Lucie Cowty
O IMIDACLAPRID O BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION -
❑ .06% ❑ .1% ❑ .12% ❑ .25% 4r05% ❑ 23% ❑ 9% ❑ OTHER GALLONSAPPLIED
SQUARE FOOTAGE O LINEAR FOOTAGE
q 4ES ❑NO �
JWES ❑NO
,A
MEASURED OR VERIFIED PER PLANS
DETAILS
As per 104.2.E 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 0"\ 1)
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
/D-/ -/9
Date
Date
❑ OTHER
0p11cator. (EvicttAABBug Termite and Pest Control, Inc.)
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com