HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEfT .
Planning & Development Services SCAN Fp
Building &
Code
Virginia AveRegulation
on Division s [UCQY
Fort Pierce, Fl. 34982 CounhRECEVV tom.
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: f c;oq - a3SG JOB
BUILDER/CONTRACTOR: J
PEST CONTROL CONTRACTOR: A
PEST CONTROL LICENSE #:_-a%_
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: /O 0 Chemicals used:
Percentage of solution: r 0
Date of Treatment: l /-'(
_Footing
1" Treatment
_Re -Treat
_Driveway
.11 Treatment
_Re -Treat
_Other
_Vs Treatment
_ite Treat
Total gallons used:
Time of Treatment: pis : o a
=slab
�Id Treatment
Re -Treat
for
m
DEC-12 2015
PEW, ' i' n"a
St Lucie County, r
Note. There must be a completed form foreech required almmt arre and th& form mustbe on the jab
site to be picked up by the lnsp&tar at time of each fWeedm or the sake ulad inspection wilt fall and a•re-Inspection
fee dfiargel.
FBC104.2.6 Certrfitte offttecb've Trsabnentforprevenbon oftermiles� A we3therresis2ant jobsife pastlng board
shalt be provided m receive duplicate Treatment G yWcates as ead9 regWrsd protective beahnentis complete
proWLAng a ropy for the person the permit is Lssuaito and another copyior the bulls ft permit frtes. The Treabnent
Certificate shad provide the product used, ldentityof the applicator, time and dale of the treatment; site tacabh% area
treated, dremical used, percent mncenbation and numberofgatlons used, to estabfth a vedfiable record of
protecBve treabmnt. if the soli chemical bamermethod fortermite preventron is used, final exterior heatrnent sbal!
be mmplered prior to final build/ng appmwl
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 �es�C
s riis lortl 1 7
` �~O38
hst 72-323-7921
• Termite Pretreatment ® EVICf-A-Bug Toll Free: 1-877-365-9990
• Pest Control Termite &
• Rodent Service Pest Fax: 772-340-5990
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc" 2373 SW Woodridge St.
• Licensed & Insured Lic.JB175775
Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
'BATE OFSERVICE �' 4" �/ TIME "S
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
A i,f fcwJ4-s-
STRUCTURE ADDRESS (LOT/BLOCK) \CITY, STATE, ZIPi COUNTY
l k0 west t�� Ltic)e
NOTES
6 �k orsI �� -o� rL✓1 144 m (fP4mnW�u�tk`1
IKCAIMCKI ITeWAKCA '
❑ FLOATING
'*HMONOUTHIC
❑ PATIO
❑ GARAGE
❑ DRIVEWAY
❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT
❑_ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP &TREAT
67REAT ONLY
gFINAL
❑POOLDECK
rTHER )-(;Jl
I
V"
r
PRODUCTS
68ASELINE
❑ DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC
❑ BORACARE ❑ PREMISE
❑ OTHER
ACTIVE INGREDIENT
❑ IMIDACLAPRID VBIFENTHRIN
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
A-06% 0,.12% 0.25%
0.05% 023%
09% ❑OTHER
GALLONSAPPLIED
SQUARE FOOTAGC7
LINEAR FOOTAGE
Z f
SQUARE FOOTAGE VERIFIED
YES ❑ NO
EASURED OR VERIFIED PER PLANS
F I L
rw
PY
JOB READY CONDITIONS MET
^ „ To t`
ORES ❑ NO
DETAILS
I�L"�
As per 104.2.6 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 Cade.)
If this notice is for the final exterior treatment, initial and nv y
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at lime of service.
/1-yij.
Dale
Dale
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFKATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
SCANNED
BY
It Impia County
3'zjy8?
PERMIT#: 5-Dtf- 0399 JOB ADDRESS: 15%01 W I"n�dW�y •� F°��" �
BUILDER/CONTRACTOR K. r2k21-S
PEST CONTROL CONTRACTOR: < -B G'
PEST CONTROL LICENSE #: -a% Jh
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: l�Z� . �hemicals used: F2aSP,.i MR-'
Percentage of solution: ' 06 ,�I, Total gallons used: -2 Z 5'
Date of Treatment: I Time of Treatment: � f 1 60
_Footing
1st Treatment
_Re -Treat
_Driveway
.1`1 Treatment
_Re -Treat
_Other
11k Treatment
-Re-Treat
$lab
!a Treatment
—Re-Treat
_Pools
_1�Treatment
_Re -Treat
_Perimeter for Final Inspection
Signature of Fxterm6for
Note: There must be a completed form for each required treatment orre-treatment and this form mustbe on the job
site to be pidted up by the Inspector at time of each inspection or the scheduled inspection w111 fall and a•re-inspection
fee charged:
F6C104.2.6 Certlfrdate afprotscdve Treatmentforpreventlon oftennites A weatherreststantjobs/te posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treahnentIs completed,
providing a aW for the person the permit is issued to and another copy for the building permit files. The Treatment
Certificate shall provide the product used, Identlty of the applicator, time and date of the treatment; site location, area
treated, chemical used, percent concentration andnumberofgallons used, to establdsh a vedfiable,record of
protective treatment If the so/l chemical bander method for termite preventlon Is used, final exterior tn=atmentshall
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.
6• +N
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, Fl. 34992
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT#: 0ti-(53g9 JOB ADDRESS:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: aanft - fWa.
PEST CONTROL LICENSE #:_ -aB 1 � �', K7
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: �YJf Chemicals used: JES Q) ! ✓ &
Percentage of solutions; 0 0 6 / Total gallons used: f S
Date of Treatment: O - 3 - J'S-
_Footing
^1a Treatment
_Re -Treat
_Driveway
_ ist Treatment
Re -Treat
Other
_3't Treatment
_Re -Treat
Time of Treatment �" 00
Slab
1a Treatment
�Re-Treat
Pools
_1d9 Treatment
_Re -Treat
Perimeter for Final inspection
-v
Signature of F.xtermin
/dote: There must be a completed form for each required treatment orre-treabnentand th/sform mustbe on the jab
site to be picked up by the Inspedorat time of each Irrspectlon or the s0eduled /nspectlon will fall and a•re-lnspeclLon
fee drargei.
FBC104.2.6 Certificate of Protective TreatmentforpreveWon oftermites. A weatiierresistantfobsite pasting 6oaM
shall be pmvJded to receive duplicate Treatment aytficates as eao9 required protec um treabrrentis completed,
proving a copy far the psrcon the permit is issued to and another copy for Me bullring permit files: The Treatment
Catificatesball provide the productused, LdenW ofbl a applicator, time and dale of�ire ireattnen� site Location, area
treated, dremical used, percent concentration and numberofgalkas used, to establish a verifiable record of
protec P9 &aab mnt. If rite soil chemical bamermeflwd for termite prevention is used, final exterior treatment shall
be completed poor 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.