HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
• 2300 Virginia Ave
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 8041
CERTIFICATE OF TERMITE TREATMENT Stibl�'
CONSTRUCTION SOIL TREATMENT
PERMIT #:(_gDqUqQ3 JOB ADDRESS: 2 y MedYel /'G-✓� I[/alvk
PEST CONTROL CONTRACTOR: EVICT-9-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: 2 Z 75
Percentage of solution: _05%
Date of Treatment: '11 2019
Footing
0�Is'Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: _3C
Time of Treatment: I fV V
i
SlabY 1st Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
xxxxx erime er for Final Ins coon
Signatur of Exterminator Date
Note. There must be a completed form for each required treatment or re -treatment and this farm 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 resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the pennit 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 preventon 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
• Termite Inspection
• Termite Pretreatment fie.
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
• Licensed & Insured Lic. JB176775
S 3
-r72-323-7921
•Bug
Toll free:l-611365-9990
Termite &
Pest
fda 772-340.5990
Email: Evictabug@gmail.com
g@gmail.com
Inc.
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 WHITEFLYA !TREATMENT
DATE OF SERVICE ��- I�` - TIME r d0 — — �c�IPiN�•F,--
NAME{PROJECT)
NOTES
TREATMENT TYPEIAREA _
❑ FLOATING PIMONOLITHIC
❑ CUTOUTS ❑ FOOTER
TAMP & TREAT ❑ TREAT ONLY
PRODUCTS
❑ BASELINE
❑ OTHER
STATE
❑ PATIO ❑ GARAGE ' ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ FRONT ENTRY ❑ RETREAT if ❑z30RA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ FINAL ❑ POOL DECK �r 13 OTHER
AOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ IBORACARE ❑ PREMISE ❑ TALSTAR
i tr
ACTIVE INGREDIENT " - ,Er1MIDAdLAPRID ❑ BIFENTRRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
°
CONCENTRATION
❑ .O6% ❑ .1 % ❑ .12% ❑ .25% ;1105% ❑ 23% ❑ 9% ❑OTHER GALLONS APPLIED ZS�
SQUARE FOOTAGE 7 % ' < LINEAR FOOTAGE
SQ...///UARE FOOTAGE VERIFIED
ONES ❑ NO
pMEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
.�
E3YES ❑NO
DETAILS
"Certificate of Compliance"
As per l04.2.6,105.10 & 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.) n G�
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
PaymentTerms: Payment due at time of service.
.�
I Z07
Date
Date
101
OPI s)'m-
Customer (Property Owner or Agent)
.,.., �'www.evictabugpestcontrol.com