HomeMy WebLinkAboutTERMITE TREATMENT• Termite Inspectio,, je5,s Christ lorq -
^ r72-323-7921
• Termite Pretreatment EUICf A-BIUJ
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
t • Whitefly Treatment Inc.
2373 SW Woodridge St.
` • Licensed & Insured . L". JB17575 /72— 3r1
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 1 TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT.":,
DATE OF SERVICE' (— 10 �1 1 TIME 0— O!od '
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DEVELOPMENT NAM(PROJECT)`G
CO�RACTO 'S NAME �f 1 O/�
11'\
COYTACTc1hy 9)�- 3tom_
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,UUNITY s
STRU TU E ADDRESS(LOTIBLOCK) CITY, STATE
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NOTES
r'M 0 5/6� /O Y 1/ C�' / I U A P14 A
ZIP CODE ._ .,..
5`�19So2
¢/FLOATING
❑ MONOLITHIC ❑ PATIO
❑ GARAGE
❑ DRIVEWAY
❑ STEM WALUFOOTERS
' JI,VNDDITION
❑ CUTOUTS
❑ FOOTER ❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT
❑ PLUMBING CUTOUTS
t
❑ SIDEWALKS
%TREAT
e'
Y O.TAMP 8 TREAT
ONLY ❑FINAL
❑POOL DECK
❑OTHER
PRODUCTS
❑ BASELINE
94DOMINION 2LACTIVE INGREDIENT ❑
TERMIDOR SC O
BORACARE ❑ PREMISE ❑
TALSTAR
❑ OTHER
ACTIVE INGREDIENT
❑9 1DACLAPRID 0BIFENTHRIN❑OISODIUMOCTABORATETETRAHYDRATE—
" 'CONCENTRATION
ti
'O .06% (3.12% ❑.225/%' ❑ .05% ❑ 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE .2 S T
SQUARE FOOTAGEVERIFIED
1 YES ❑ NO 1 `MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
Ilff YES ❑ NO
3
1
qq 5
GALLONS APPLIED
d
LINEAR FOOTAGE
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Aunoo along 15
As
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As per 104.2.6 FBC - If soil chemical barrier method fortemiite prevention is used. Final exterior treatment shall be completed prior to final building approval.
a
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.) 11
If this notice is for the final exterior treatment, initial and date this line
gr°
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service
Date ra or. (EvictA g Termite and Pest Control, Inc.) -
Dale Customer( r perty Owner or Agent)
S
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
AW03l8jnj dS
GANHOg
PERMIT #: I/(V- Q3 I I JOB ADDRESS: �-?7Lo US Y.5 L FL 1 %-;-
BUILDER/CONTRACTOR: S�P11SuL o//�/ c(o/5 -
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:
Percentage of solution:.05%
Date of Treatment:
/'_Footing
6-- Is'Treatment
Re -Treat
Driveway
1a Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 30U
Time of Treatment: 9. 00
� Slali
a 1t Treatment
Re -Treat
Pools
1't Treatment
Re3TeA
Perim er Final 'on
Sign re of Exterminator 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.
FBC104.2.6CergflcateofProtecdveTreatment forpreventionoftermites, Aweather resistantjobsitepostingboard
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the perrnitis issued to and another copy for the building permit files The Treatment
Certificate shalt provide the product used, identity of the appl/cato , time and date of the treatment, site location, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention Is used, final extenor 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