HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESPlanning & Development Services SCANNELU
Building & Code Regulation Division By
2300 Virginia Ave St. LucieICn„n ,
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: I (- D2 L JOB ADDRESS: 4 ) 1o,tA f- eie
BUILDER/CONTRACTOR: eI Wz tf
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:. ) Chemicals used: DOMINION zL
Percentage of solution:.05%
Date of Treatment: ors %19�2�'
Footing
1st Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
_Other.
Treatment
Re -Treat
Total gallons used: V
Time of Treatment: 1 i . 0- Q
Slab
1't Treatment
Re -Treat
Pools
1s` Treatment
Re -Treat
XXXXX PArimatar fnr Pln-At isg
of Exterminator VDate
Note. There must be a completed form for each requirgWeatment or re -treatment and this form must be on the jab
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 resistantjobsite posting board
shall be provided to receive duplicate Treabnent Certificates as each required protective treab-nent is completed,
providing a copy for the person the permit is issued to and another copy for the building permit riles. 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 venriable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, renal 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.
• Termite Inspection
• Termite Pretreatment
• Pest Control s
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
t Is got 72-323-7921
Bug tl Tell free.1-877-385-9999
Termite a fai%772-349-5989
Pest
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 pI FIRE ANT SERVICE I TERMITE SERVICE I RODEg6MQ jRE)& REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE -I i 2 G TIME W-0 a BY
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
KJQ� 11111r z ,, I a'" I % ,..� e -
STRUCTURE ADDRESS (LOTIBLOC ,'2 I �� jg (y S� CITY, n�✓L� — COUNTY
NOTES S -� ZIP CODE
TREATMENT TYPEIAREA _
❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE . ❑ DRIVEWAY ❑ STEM WALLIFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKE
❑ TAMP & TREAT ❑ TREAT ONLY ❑ FINAL ElPOOL DECK 1p OTHER !-,P/"ce 7 C
PRODUCTS
❑ BASELINE U DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT 16 IMIDACLAPRID O BIFENTHRIN ❑ DISODIUM OCTABORATETETRAHYDRATE-
CONCENTRATION
❑ .06% ❑ .1% ❑ .12% ❑ .25% b .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED Q
SQUARE FOOTAGE yoc> LINEARFOOTAGE
SQUARE FOOTAGE VERIFIED
b YES ❑ NO „6 MEASURED OR VERIFIED PER PLANS
f
JOB READY CONDITIONS MET
� 'O YES ❑ 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
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service. _
l/9.6
Date Applicator.-(EctA Bug Termite and Pest Control, Inc.)
Date Customer (Property Owner or Agent)
www.evictabugpestcontrol.com
YBB�irJ
Planing & Development Services
Building & Code Regulstlon Division 1 ,i3id`4
2300 Vttgtnia Ave aY
Fort Pierce, FL 34482
772-462-2172 FaX 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION'SOIL TREATMENT
PERMIT #: (- 045C -- JOB ADDRESS: 54 1 ,5jo, f21' fWe-f
BUILDER/CONTRACTOR:,�r D I tax-q -T
PEST CONTROL CONTRACTOR: EMcT.n.eucrERMffE a PEST corlrRM INC.
PEST CONTROL LICENSE #:JB+Zs"5
We, the undersigned, hereby certify that we have pretreated of above described construction for
subterranean termites in accordance with the standards of the National Pest Control Assodation.
Square feet if area treated:, YO d
Chemicals used: DOMMOa 2L
Percentage of solution -05%
Total gallons used: v e)
[late_ of Treatment: -2" %�f �
Time of Treatment:
—Footing
Slab
_,. a Treatment
1"r Treatment
_Re -Treat
—Re-Treat;
Driveway
_Ea Treatment
---Foots 1`r Treatment
iRe-Treat
—fir done -Am
_Re_Treat
20°"0C Pert eter fob Rn
Treatment
—Re-Treat
,Woresign
of E)dErminator' Dabe
Note: There must be a romple[ed foml tor each requ tnrerrt ornrbrabnant end bdslixm tarestbe ao (hlt�Iay
fee h bg Pied uP b1 at time oleach t/RSP&-V0n or dre sd oaFA�.d hLSo�+ M$/IQ!!p'and a le*Wam n
Tee. Charged.
FBL104.2.6CerltlrcateofProtartNeTrcabncrkforPrrrdrrGbnoft✓anrArE£ Ar►eabkrr�sb�gbgyd -
PvWbV a cqW for du7 the p "t is iirt Cerm7mles as a>Adr ingt a p0hre le bxWineot B M440i6pe4
Certlrrate staeN � O�mR h d to and anodw cgoy/br Mebolft p1'tAks.
P�✓rde the M duct used, ldMW OfbSe aloio AnWr, &w &Wdae d ft heated, dle,rnicat used, percent conc'enbabbn and number orga✓t W W04 to B ftW,Ji el rem arotertnetreatment #W/b artchemrcataanfs.meoladhrte;;riRyar v►tstau4Abaomtttl/,yr p p /
be'rampletad pnlx ro t/nal buLiding aPProvat.
the electrical 5t Lucie County requtr� for the final hrspe� TorCp,
paa p Sfldoew bt►1�Y P4wfed e nel box Dover, tistipg all tlfe;t fatmenb timd ddtbo of
g_.
Rsviaed 7/24(2014