HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services SCANNED
Building & Code Regulation Division BY
2300 Virginia Ave St. Lucie County
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 1'70H-0a2 G JOB
BUILDER/CONTRACTOR:
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: S/P LF Chemicals used: E bn,mlNL%L L
Percentage of solution: Kn lm6 Total gallons used: alo
Date of Treatment:
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other n ergot Alt-LJb
1't Treatment
Re -Treat
Time of Treatment: /1:3 6
Slab
lrt Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
,Perimeter for Final Inspection
PAULLUGARA ,°�,.p''„o°,"„ooavo 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 Ume of each inspection or the scheduled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatinent for prevention of termites. A weather resistantjobsite posting board
shall be provided to receive duplicate Treabnent 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. fie 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 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.
Revised 7/24/2014
Planning & Development Services
Building & Code Regulation Division
• 2300 Virginia Ave jI;HNNImp
• Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443 BY
St. Lucie County
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:Jr) oq -0a`�7 JOB ADDRESS:
BUILDER/CONTRACTOR:D
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: 44 -0 5
Date
+ of Treatment:
�—Fasting
Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Note. There must be a completed form for each
site to be picked up by the inspector at time of
fee charged.
Chemicals used: 9•- Lam ("if ovv
Total gallons used: K"W
Time ofTreatment:
atment
Re -Treat
Pools
Treatment
e-Treat
en er for F' spection�}/•,� 1�
of
Date
•nenf br re -treatment and this form must be on the job
or the scheduled inspection w111 fail and a re -inspection
FBC104.2.6CertlficateofProtecVveTreatment for pre ventionoftennites Aweather reslstantjobsitepostrngboard
shall be provided to receive dupllcate Treatment Certificates as each required protective treatment is completed,
providing a copy for Me 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 vedfiable 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
RECEIVED AM 15
• Termite Inspection .5 Christ is loftl __%' 72-323-7921
• Termite Pretreatment EVICT A -bug Toll Free: 1-877-365-9990
I• Pest Control Termite & Fax: 772-340-5990
• Rodent Service Pest
•• Fire Ant Lawn Service Control, L'gNN1=Email: Evictabug@gmail.com
1 ° Whitefly Treatment Inc.By 2373 SW Woodridge St.
• Licensed & Insured Lic. JB175775 St'. We CamtBort 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 FIR ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE�� ItI•I TIME 7 C-
DEVELOPMENT NAME(PROXC) C�CTO SN MME NTAA TPERSON.,
STRUCTURE ADDRESS(LOT/BLOCK) AtL��1r L1,,I I��S- !� f�CI ,STAT O(4 COUNTY 1 ale
ZIP
NOTES Q iki P,-: N tT ` r � K/"i. — al- cl 3(1 q f � h
ODE
TREATA6T TYPEIAREA
034\OATING
❑ MONOLITHIC
❑ CUTOUTS
❑ FOOTER
❑ TAMP &TREAT
VFREAT ONLY
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGRSDIENI
CONCENTRATION
❑ PATIO
❑ GARAGE
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ FINAL
❑ POOL DECK
❑ OTHER_
��OMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
OMLDACLAPRID O BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .12°/
❑1/255%
0 05%
❑ 23% ❑ 9%
❑ OTHER
SQUARE FOOTAGE
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
VES ❑ NO
JOB READY CONDITIONS MET
ES ❑ NO
OAASURED OR VERIFIED PER PLANS
DETAILS
GALLONSAPPLIED 9 ' U
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 ofAgriculture and Consumer °---'--- ,._ I-,-
If this notice is for the final exterior treatment, initia
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
o
Date
Date
www.evictabugpestcontrol.com