HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE1�
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-5443
RECEIVED
DEC 11 2?Gi9
ST. Lucie County, Permitting
CERTIFICATE OF TERMITE TREATMENT G%WWD
,
CONSTRUCTION SOIL TREATMENT StLudecoumv
PERMIT #: 1109'' - JOB ADDRESS: �6010 1�dcyQj
BUILDER/CONTRACTOR:
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 standardsbf the National Pest Control Association.
Square feet if area treated:
Percentage of solution:.05%
Date of Treatment: -2019
r
FoOng
1't Treatment
Re -Treat
Driveway
1s` Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 2s
Time of Treatment: (` r3C2)
1st Treatment
Re -Treat
Pools
1 t Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL.0 LUGARA JR oa. i .In .L. avn M
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.
FBC104.2.6CertificateofProtective Treatment forpreventionoftermites. A weather resistantjobsite posbrg 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 buildinq permit files. The Treatment
CertIfIcate shall provide the product used, identity of the applicator, time and date of flie 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.
Christ is lorq
• Termite Inspection
r 772-323=7921
JeS�s
• Termite Pretreatment EVICt A -Bug
Tall free:1-877-385-9999
• Pest Control Termite &
'
1& 772-349-5999
• Rodent Se Q e , Pest
• Fire Ant La4vn SeM&IEIVED Control,
Email: Evictabug@gmail.com
• Whitefly Tri atme �i t Inc.
11
4293 SW High Meadows Ave.
C0:9 Lic. JB �5n5
• Licensed Insurls�C
Palm City, FL 34990
ST. Lucie county, Pei of Preventative Treatment for Termites
(as required by Florida Building Code (FEi 104.2.6, 105.10 & R318.1 and Broward County Chapter FBC 105.2.2)
.PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHIT{E�FFLYTREATMENT
OF SERVICE h.- // - / 9 TIME • 3 O
SCANNED
.DATE .'
RIM
DEVELOPMENT NAME -(PROJECT) !tee S
CONTRACTOR'SNAME
TR���
CONTACT PERSON StLocieb
v
STRUCTURE ADDRESS (LOTIBLOCK) I Olo C( t,AC CITY STATE
A C� 1 Pi re —<"r&i-r—
NOTES
94)8'-
ZIP CODE
`t R
f6vn/i Trecf 7?q 7sr- n
TREATMENT TYPEIARFA
(/
❑FLOATING 4J MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEPlAY�
❑ STEM WAUIFOOTERS ❑ ADD ION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
TAMP&TREAT El TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑ BASELINE DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR '.
❑ OTHER
ACTIVE INGREDIENT _ �" IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATEti c ..�-.--
CONCENTRATION �j Q
3.!
❑ .06% ❑ .i% ❑ .12% ❑.255% �jJ.05% ❑ 23°h ❑ 9% ❑ OTHER GALLONSAPPLIED C/ ` S
SQUARE FOOTAGE / `Ll LINEARFOOTAGE
SQUARE FOOTAGE VERIFIED
'49 YES ❑ NO MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
1 YES ❑ NO DETAILS
"Certificate of Compliance"
As per 104.2.6,105.10 & R318.1 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/ +
FINAL STICKER
❑ ELECTRICAL PANEL Cl WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
Z-J/- i 9 �xA
Date
(EvictA Bug Termite and Pest Control, Inc.)
Date
Customer (Property
J
www.evictabugpestcontrol.com