HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
��le 0151
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: L q 10-015 % JOB ADDRESS: )oho
BUILDER/CONTRACTOR: TiJ -rT 9u. lr�f C
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: JBI75775
SCANNED
BY
St. Lucie County
LJ
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: 3�
Percentage of solution:.05%
Date of Treatment: -2019
Ong
Treatment
Re -Treat
Driveway
1s` Treatment
Re -Treat
Other
Is'Treatment
Re -Treat
Note. There must be a completed form for each req
site to be picked up by the inspector at time of each
fee charged
Chemicals used: DOMINION zL
Total gallons used: 3��0
Time of Treatment: /G, (�:7) d
_��reatment
Re -Treat
Pools
1' Treatment
Re -Treat
erim er for Final In
`/f"
of
went or ie-b0atI0entand this form must be on the job
or the schedKed inspection will fail and a re -inspection
FBC104.2.6 Certificate of Protective Treatnentforprevention 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 treatnentshall
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.
R—Ad AoPfaion.A
• Termite Inspection
• Termite Pretreatment
• Pest Control <
• Rodent Service
• Fire Ant Lawn Service
Whitefly Treatment
t is Lot 772-323-7921
Bug a Toll free;1-817 385-9999
Termite a Pest [811. 772-349-5989
Control, Email: Evictabug@gmail.com
Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. JB175775 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
DATE OF SERVICE - 3 l/ TIME U U Cj
( r) r rt/ly Cam'.
VELOPMENT NAME (PROJECT) CONT yC-T-OOTS'�NA/ME ,/ CONTACTPERSON
('�A1P<TMA4.,,< N / / Ar I< )I
STRUCTURE ADDREjSS(LOpTI�BLOCK) CITY,d
STATE COUNTY
LIIJdA/IAIA/7nti /D%O� PrJP4I1,Ure
TREATMENT TYPEIAREEA
❑ FLOATING
d -MONOLITHIC
❑ PATIO
❑ GARAGE 1 ❑ DRIVEWAY El STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT O BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
(GvyfAMP & TREAT
❑ TREAT ONLY
❑ FINAL
ElPOOL DECK ❑ OTHER
PRODUCTS
- ❑ BASELINE
W-DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT—" — —
- -
IMIDACLAPRID El BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .1% ❑ A2%/ ❑ .225% A`M ❑ 23% ❑ 9% ❑ OTHER GALLONSAPPLIEDK--9 d
SQUARE FOOTAGE CO) I LINEAR FOOTAGE
rEJ\ES ❑ NO MEASURED OR VERIFIED PER PLANS
VV .��
JOB READY CONDITIONS MET
GESYES ❑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.)
If this notice is for the final exterior treatment, initial and date this line V \
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER _ t
PaymentTerms: Payment due at time of service.
Date Appli!ator. (EvictA Bpy Termjt and' Gst Control, Inc.)
Date
Customer
www.evietabugpestcontroLcom