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TERMITE TREATMENT CERTIFICATE
Planning & Development Services SCANNED Building & Code Regulation Division BY 2300 Virginia Ave St. LUCK County Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: I°r I© BUILDER/CONTRACTOR: PEST CONTROL CONTRACTOR: EVi PEST CONTROL LICENSE #: JB175775 TERMITE & PEST CONTROL INC. 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: 9 O Percentage of solution:.05% Date of Treatment: / Z 2019 2Fo OPtin1' Treatment Re -Treat Driveway 1' Treatment Re -Treat Other 151 Treatment Re -Treat Chemicals used: DOMINION 2L Total gallons used: %Oc> Time of Treatment: =Slaia 2r 1st Treatment Re -Treat Pools 1s` Treatment Re -Treat X Peri eter for Final Inspection Date Note. There must be a completed form for each requireY-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. FBC304.2.6 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. 1 Uvlovu //Zw4v1Y 3'1'T'5n 4 I '72 323 7921 • Termite Inspection �e5�5 Christ is lortl • Termite Pretreatment EVICt--A-Bug i011 FPEE.1-977-365-9999 • Pest Control i$ Termite & • Rodent Service Pest frax: 772-349-5999 • Fire Ant Lawn Service Control, Email: Evictabug@gmail.com • Whitefly Treatment Inc. 4293 SW High Meadows Ave. • Licensed & Insured I.1c. 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 1 TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT DATE OF SERVICE 1. 41 TIME DEVELOPMENT NAME (PROJECT) C TRAzzrS NAME �/qt/�t n�AG e C oop-1PERSON lklj STRUCTURE ADDRESS (LOTIBLOCK) !J `� v_ /mod `'�.� INIaK�.]Y l/CITY, STATE �/ j COUNTY NOTES ZIP CODE TREATMENT TYPEIA-R-EE/A _ ❑ FLOATING 'El MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLIFOOTERS ❑ ADDITION ❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS ❑ TAMP & TREAT TREATONLY ❑ FINAL ❑ POOL DECK ❑ OTHER V PRODUCTS ❑ BASELINE DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR ❑ OTHER ACTIVE INGREDIENT IMIDACLAPRID 13 BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION ❑ .06% ❑ .1% ❑ .12% ❑ .25°% 'P.05% ❑ 23% ❑ 9% ❑ OTHER GALLONS SQUARE FOOTAGE O LINEAR FOOTAGE r a t�k�i R+ �;1 46 ra eSv e j SQUARE FOOTAGE VERIFIED DEC — 9 2Ot9 YES ❑ NO MEASURED OR VERIFIED PER PLANS �' Permitting Depfartment JOB READY CONDITIONS MET YES ❑ NO St. Lucie Counts+, DETAILS 4 _FIL "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.) ^ Q� If this notice is for the final exterior treatment, initial and date this line FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER Payment Terms: Payment due at time of service. I J Date C Dale Customer (Property Owner or Agent) www.evictabugpestcontrol.com