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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services SCANNEli Building & Code Regulation Division 2300 Virginia Ave BY Fort Pierce, FL 34982 St. Lucie Count% 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: 15W 0"A JOB ADDRESS: ' 5` k GGS BUILDER/CONTRACTOR:_ L T� Py'�ny4F -a&tjA 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: leb-5) f Percentage of solution:.06r Date of Treatment: Footing �Treatment Re -Treat Driveway Sst Treatment Re -Treat Other a 1st Treatment Re -Treat Chemicals used: BASELINE Total gallons used: 4'SZ5�_ Time of Treatment: 0'-, 3 V � lab Treatment Re -Treat Pools 1st Treatment Re -Treat Perimeter for Final Inspection PAUL LUGARA �.211 ".".W.m 2016.m.110931.om 8-11-2016 Signature of Exterminator Date 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 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 venfiable 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 CID, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. Kevtsed //2412U14 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 PERMIT #: / -6 i 0a'0Co2 JOB BUILDER/CONTRACTORt <2&A PEST CONTROL CONTRACTOR: 'Ev PEST CONTROL LICENSE #: JB175775 SCANNED BY St. Lucie Couni h 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: E/.-5 0 Percentage of solution: •051- Date of Treatment: c Footing 1" Treatment Re -Treat Driveway 1'` Treatment Re -Treat Other la Treatment Re -Treat Chemicals used: DOMINION 2L Total gallons used: 2.1--; 0 Time of Treatment: Slab 1't Treatment Re -Treat _Pools for Final Date Note. 772ere must be a completed form for each requiredatment orrerbeatmentand this form mustbe on the job site to be p&*ed up by the Inspector at time of each Inspecton or bye scheduled Inspection will fail and a re-Inspectlon fee charged. FBC104.2.6CertificateofprotectiveTreatment forpreventionoftermites Aweather resistantjobsitepostingboard shall be provided to receive duplicate Treatment CerUficates as each required protective treatment is completed, providing a copy for the person the pennitls 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 protecb've treatment. If the soil chemlcal barrier method for termite prevention is used, final exterlor treatmentshall 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 7/2412014 R CIMCI Yf I ILE I V P �: »y6 • � I '� Christ is Lls Termite Inspectton l _ %"2 323 7921 • Termite Pretreatment • Pest Control ®l/ICt-A=B111J q" Toll Free:1-877-365-9990 Termite & Fax: 772-340-5990 ? •Rodent Service ` � < Pest • Fire Ant Lawn Service Control, Email: Evictabug@gmail.com • Whitefly Treatment Inc'' 2373 SW Woodridge St. i • Licensed & Insured Lic. JB175775 �l`�_b Z r 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 AN SERVICE I TERMITE SERVICE 'I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT DATE OF SERVICE 1 _ 0 3 —I TIME _S' i 6 ' DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON C' n I II rah s LTA A0 � STRUCTUREADDRES (LOT/BLOCK) ll CI �STATE, ZIP CODE �O f S� OUP .� NOTES I (-� ` I 1 c?r ❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION ❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT PLUMBING CUTOUTS ❑ SIDEWALKS ❑ TAMP &TREAT TREAT ONLY El FINAL ❑POOLDECK ^THER'Tf feccr� �^t❑ 4K4— PRODUCTS UIBASELINE ❑ OTHER ❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE SCANNED BY ❑ TALSTAR St..Lucie County ACTIVE INGREDIENT - - - . OdMIDACLAPRID�FENTHRIN ❑.DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION 06% ❑.12% ❑[.25% ❑.05°/ ❑23% 09% ❑OTHER GALLONS APPLIED 1 " SQUARE FOOTAGE � \ LINEAR FOOTAGE t y�YES. ❑ NO MEASURED OR VERIFIED PER PLANS JOB READY CONDITIONS MET ❑ NO ) 09LYES DETAILS As per-104.2.6 FBC -If soil chemical harder method for lermitepyenti6n is used int= al ezleri r treatment shall be completed prior to final building approval. i 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.) _ n, If this notice is for the final exterior treatment, initial and date this line FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER O Payment Terms: Payment due at time of service. Date C Pest Control, Inc.) h Date r or Agent) 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 'S z5 CONSTRUCTION SOIL TREATMENT PERMIT #: 1511- 6?,k 1 JOB ADDRESS: 4s5gl S - G,3 f BUILDER/CO�NTRACTOR:�7 1, F4 PEA 1 ( PEST CON 1TROL CONTRACTOR: EVICT -A -BUG TERMI E& PEST CONTROL INC. PEST CONTROL LICENSE #: JB176776 SLHNNEL� St CUC131Y C01jM 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: Percentage of solution:.06% 1 Date of Treatment: / - 2-3- i 7 oting 1- atment Re -Treat Driveway Srt Treatment Re -Treat Other 1" Treatment Re -Treat Chemicals used: BASELINE Total gallons used: Time of Treatment: 5 ! 1 SI 5eatment Re -Treat Pools 1't Treatment Re -Treat Perimeter for Final Inspection PAUL LUGARA ;°o,'°o WPA"p.a°"""�. 8-11-2016 Signature of Exterminator Date 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 Certificate of Protective Treatment forprevention of termites A weather resistantjobsite posting board shall be provided to receive duplicate Treabment Certificates as each required protective treatment is completed, providing a ropy for the person the permit is issued to and another ropy 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. Revised 7/24/2014 tD r-I Oo r-I 6- Port St. Lucie Building Department This form is to be filled out by Pest Control Company Certificate of Compliance nn (This is a partial treatment only and not a guarantee or warranty) Sy � NED St. Lucie county Permit Number: c G� I Location of Property: D '1CL S - BS I G'A ' /,�-t--(`)` Legal Description: Section Pest Control Company it C a Company Own Siginature ,1: Date Title //Soil Treatment Company Information GtJ\C'( ti'S l(f 2F&JeEpe-4W O ZCA Soil Treatment C pany Name �i��� i�adctZ3 SA -Vet Address �6 15115 Soil Treatment/DACS License # The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws established by the Florida Department of Agriculture and Consumer Services. A second treatment was done on (date) —J I as per manufacturer's specification. If the second treatment is not required, a copy of the product label shall be included with this certificate. Block Lot Treatment Information Date of Trea ent Chemical Used 1� Concentration L5 Gallons Used 43C' I Method,o Application (soil mixed, etc.) q Linear Footage of Area Treated Second Treatment Information Date of Treatment Chemical Used Concentration Gallons Used Method of Application (soil mixed, etc.) Linear Footage of Area Treated Please Note: The City of Port St. Lucie does not guarantee or warranty the preconstructlon soil treatment attested to in the above. The purpose of this document is to show that to the best of this department's knowledge, the builder has satisfied the requirements of the Florida Building Code for protection against termites. This form MUST BE RETURNED to the Building Department before your final inspection is scheduledl