HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE• Termite Inspection
Je505 Christ is _,
7 2-323-7921
• Termite Pretreatment
ErrictA-Bug
Toll Free: 1-877-36S-9990
• Pest Control
• Rodent Service
Termite &
�' 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 11 FIRE
NT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOV C I
DATE OF SERVICE 2 d
i
. TIME 3 — J7
77-97
,Z 11
Y
J
DEVELOPMENT NAME (PROJECT)
,5
CONTRACTOR'S NAME
CONTACT PERS N
ST. Lucie County,
I D-� . S6 p
a+CO
Ii1A4 Perm
STRUCTURE ADDRESS (LO LOCK)
CITY, STATE
3Zo �,nr-�Q-7.
COUNTY
41A
NrES
I) �
`
I f.
I��
'OO"J� U�/
ZIP CODE
�-J4,
❑ FLOATING ONOLITHIC
❑ CUTOUTS ❑ FOOTER
❑ TAMP &TREAT TREAT ONLY
79pATIO
,e RONT ENTRY
❑ FINAL
PRODUCTS
❑ BASELINE ADOMINION 2LACTIVE INGREDIENT
❑ OTHER
ACTIVE INGREDIENT
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ADDITION
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ POOLDECK ❑ OTHER
BY
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTASt Lucie County
CCIMIDACLAPRID 0BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .12% p ❑ .25%/ .05% ❑ 23% ❑ 0/6 ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE DS/� LINEAR FOOTAGE
AYES ❑ NO �LI MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
AES ❑ NO DETAILS
As per 1042.6 FBC- If soil chemical barder 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.) _ fbl
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 fime of service.
Zo J�
Date
,4
❑OTHER
Applicator: (EvictA Bug Termite and Pest Control, Inc.)
EC
Date Customer (Property Owner or Agent) —4===zii
www.evictabugpestcontrol.com
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
SCANNED
BY
St. Lucie Counti,
3Yygl
PERMIT #: r' � 1l rz Z OB ADDRESS: _3Zf�5 Gamsm
BUILDER/CONTRACTOR: !'log — MAA-e.o $- 19A4o
PEST CONTROL CONTRACTOR: EVICT-p.-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.
ilk
Square feet if area treated: 8
Percentage of solution:.05%
Date of Treatment: 'i
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
,p Rg,Treat
Othe 7bkio/1�1ah '00{ 'Cmty
ist Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: &
Time of Treatment: :? — Is —
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter fZRI Inspection
ou LU
ignature of Exte'rminaW D to
Note: There must be a completed form for each required 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.
FBC104.2.6 Certif sate of Protective Treatment for prevention of termites A weather rest ntjobsite 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 fifes: The Treatment
Certificate shall provide the product used, Identity of the applicator, time and date of die 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.
Revised 7/24/2014