HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
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CERTIFICATE OF TERMITE TREATMENT �o4'�P�`
ED
CONSTRUCTION SOIL TREATMENT �� 61
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PERMIT #: io — GO JOB ADDRESS: _3163 jja „vt� tG At> f , Ce
BUILDER/CONTRACTOR: 1 14 Ji S _ � !-
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: 14 Q
Percentage of solution:.05%
Date of Treatment: ZL`
0o - g
�twZ9
Re -Treat
Driveway
1s` Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: i Zo
Time of Treatment: /G ; C
1
Ijt#T,N aimeestt
Re -Treat
Pools
1't Treatment
Re -Treat
Perimeter fgf Final Inspection
Ederminator
Note. There must be a completed form for each iegbinvid-treatment or re -treatment and this form must be on the job
Me 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
• Terrrlite,lnspection JeS�s Christ is,-L Ir
• Termite Pretreatment EYICt A -Bug
• Pest Control Termite
•.Rodent Service Pest
.;:ire Ant Lawn Service Control,
• Whitefly Treatment Inc.
• Licensed & Insured Lic.JB175775
.172-323-7921
Tall [Pon.1-977-395-9999
fax:112-349-5999
Email: Evictabug@gmail.com
4293 SW High Meadows Ave.
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)
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATEOFSERVICE TIME I o - C-0
(LOTBLOCK)
NOTES
JI
at.
TREATMENT TYPEIAREA _
❑ FLOATING
'O MONOLITHIC
❑ PATIO
❑ GARAGE
❑ DRIVEWAY Cl STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT
TREAT ONLY
❑ FINAL
❑ POOL DECK
❑ OTHER
PRODUCTS
❑ BASELINE
l`.] DOMINION 2LACTIVE INGREDIENT ❑
TERMIDOR SC ❑
BORACARE ❑ PREMISE ❑ TALSTAR
nTHER
VE INGREDIENT U IMIDACLAPRID O BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
_ 6
CONCENTRATION
❑ .06% ❑ .1% ❑ .12% ❑ .25% .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED 1 Z G
SQUARE FOOTAGE 11 (� CO LINEAR FOOTAGE
'
SQUARE FOOTAGE VERIFIED
a YES ❑ NO
I }MEASURED OR VERIFI PER PLANS
V
JOB READY CONDITIONS MET
DYES ❑ 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 I1
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Paym/lent due att imee of service.
hate
❑ OTHER
Date
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com