HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE�• Termite Inspection
• Termite Pretreatment ie:
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
• Licensed & Insured Lie. JB175775
r
t-7921
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Toll Free: 1-877-365-9990
Termite &
:Inc.•Bug
Pest
Fax: 772-340-5990
Control,
Email: Evictabug@gmail.com
2373 SW Woodridge St.
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
DATE OF SERVICE 3 ,i 1— f C TIME 3 r 3O
DEVELOPMENT NAME (PROJECT) I CONTRACTORS NAME n CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOC) _ CITY, STATE, ZIP CODE COUNTY
❑ FLOATING
41MONOLITHIC
❑ CUTOUTS
❑ FOOTER
,�S*AMP&TREAT
❑TREAT ONLY
PRODUCTS
AASELINE
❑ OTHER _
ACTIVE INGREDIENT
❑ PATIO
❑ FRONT ENTRY
❑ FINAL
❑ DOMINION 2LACTIVE INGREDIENT
❑ GARAGE
❑ DRIVEWAY
Cl STEM WALUFOOTERS ❑ ADDITION
❑ RETREAT
❑ BORA CARE TREATMENT
❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ POOLDECK
❑ OTHER
SCANNED
❑ TERMIDOR SC
❑ BORACARE ❑ PREMISE
BY
St. Lucie Count
❑ IMIDACLAPRID,OFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
4 6% ❑ .12% O .25% ❑ .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED
/SQ�U'ARE FOOTAGE O O'LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
4)YES ❑ NO
JOB READY CONDITIONS MET
a Y ElNO
AEASURED OR VERIFIED PER PLANS
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 miss 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
FINALSTICKER "-
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
311,116
Da e
Date
❑ OTHER
Applicator: (EvictABug Termite and Pest Control c.)
Customer (Property Owner or Agent)
tr
Planning & Development Services
Building & Code Regulation Division
2W virginla'Ave
Fort Pierce, Fl. 34982
772462-2172 Fax772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT # "" OB ADDRESS: S I
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
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.5k, �i �n�n
Percentageof solution: ° v6 Total gallons used:
Date of Treatment: 6 Time of Treatment: 2 3 !0J
,Footing
lI�Treatment
_Ste -Treat
_Driveway
1sl Treatment
`Re Treat
_Other
f2 Treatment
Re -Treat
Slab
Treatment
TRe-Treat
Pools
_e Treatment
—Re-Treat
Perimeter for Fnal 3 pection
�� 2
Signature of Exterminate
Mote: There must be a completed form for each required treatmerrtarra-trey mentand tMs form must be on thejob
sYm to he picked up by tre inspector attune of each tnspectlon or the sdleduled mspeetlon w111 fall and a•re-lnspeWon
fee drergcd.
FBC104.2.6Certfcateoffttecdve7-lw&nentforprevendonoftamites. Aweatherreslstantjobs'LoAwitngboard
shall be provided m receivedup/rmte Treatment caV19 ate; as e3c h required protecove trwkMatis rompteled,
providing a ropy for the person the permit is &uet to and another copy for Me bullding permit files. The Treatment
cerb'ficateshe provide the product used, identtyofMe applicator Me and date of the treatmerh site locabbn, area
treaty, dwmical used, percent mncen&ation and nomberofgallons used, to establish a verlfiable recnnl of
protective treabnent. if me soil chemical bamgrmethad for termite prevention Is used, final exterior treatment shall
be completed priorto Anal bul/ding approval.
St Lucie County requires for the final inspection for COO a Permanent Stild(er to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
3411 e Z�