HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATE0
•
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
RECEIVED
DEC 042018
ST. Lucie County, Permitting
SCANNECCERTIFICATE OF TERMITE TREATMENT
BY St. Lucie Countv CONSTRUCTION SOIL TREATMENT
PERMIT #: ( a -a t6 J
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR:
ADDRESS:
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: 1 U` l 7 A
Footing
in Treatment
Re -Treat
Driveway
1't Treatment
Re-Trea
4 Other S
Sn tr4itment
Re -Treat
5 * Chemicals used: DOMINION ZL
Total gallons used:�n
Time of Treatment: / ej—f C d
Slab
In Treatment
Re -Treat
Pools
1't Treatment
for Final
Sig4nor
re of Extermi Date
Note. There must be a completed farm for each required trent or re atment and this form must be on the job
site to be picked up by the inspector at time of each inspectthe sc uled inspection will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite 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 verifiable record of
protective treatment If the soil chemical barrier method for termite prevention is used, final exterior beatment 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.
nevisea iue/tui4
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
Licensed & Insured
72-323-7921
Tull free: 1-077 305-9999
fax: 772-340-5999
Email: Evictabug@gmail.com
4293 SW High Meadows Ave.
Palm City, Fl- 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION/' I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
IO DATE OF SERVICE f7 �9 TIME ' L' e
DEVELOPMENT NAME (PROJECT) CO CTOR'S NAME =CONT;AC�TPRSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE COUNTY
Jn1� '
la 3
TES ZIP CODE
tM,k`
TREATMENT TYPEIAREA (A
❑ FLOATING
O MONOLITHIC
❑ PATIO
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
'FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING` CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT
OELEREAT ONLY
6H(FINAL
❑ POOL DECK ❑ OTHER �+/�i�t ui '� •t(-'i / I- N f t 7
PRODUCTS
❑ BASELINE PDOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
P IMIDACLAPRID O BIFENTHRIN ❑ DISODIUM 06TABORATE TETRAHYDRATE
p ,06% 11.1% C312% rp- ,25% P�(5% ❑ 23% ❑ 9% ❑ OTHER GALLONSAPPLIED 3 Z/1
SQUARE FOOTAGE LINEARFOOTAGE h /
SQUARE FOOTAGE VERIFIED
OYES ❑ NO
JOB READY CONDITIONS MET
YES ❑ NO
XMEASURED OR VERIFIED PER PLANS
DETAILS
As per 104.2.6 FBC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior fo final building approval
Certificate of Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatmerit,is in accordance with rules
and laws established by the Florida Department of Agriculture and Consumer Serv' as. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line
r r
FINAL STICKER J v
❑ ELECTRICAL PANEL ❑ WATER HEATER
PaymentTerms, Payment due at time of service.
/0 1 �)- Ik
Date
Y OTHERk*2611 'N/(
Date
www.evictabugpestcontrol.com
L:]
Pest Preventi
w
JB175775
Protection
7of
I'.'.I IE POSTED PURSUANT TO SECTION 104.2.7, FLORIDA
CODE AND CHAPTER 482.226, FLORIDA STATUTES
spection (If Made) ❑ Evidence O Activity ❑ No Activity
Date 6f Initial freatment \\ Materials Used
/Q�(R �. M(nl(cf-)
Date of Final 6ctedorTrealment Matedals Used
�ItNyJwyJ r-e In v --
Wood Destroying Organism Treated For I
This property has been treated and placed under a retreatment/repair contractforsublenanean
termites. This contract is renewable by payment on annual fee. The owner is hereby advised to
have this property inspected annually by Evict A. Bug Termite & Past Control, Inc.
Evict -A- Bug Termite & Pest Control, Inc. provided the termite protection
on this property. CALL US regarding our Pest Prevention, F% Ant Lawn
Service and Rodent Service. 4
772-323-7921 • 1-877-365-9990-
vvww.evictabugpestcontrol.com - evictabug@gmail.com
4293 SW High Meadows Ave. - Palm City, FL 34990
Cal/ 7e Aetirrate Yaar Termite Gearaatee
• Termite Inspection • )eS0s Christ is _ortl 4W72-323-7921
• Termite Pretreatment O Eulct-A-Bug Toll Free: 1-877-365-9990 �.
• Pest Control 1 Termite & Fax: 772-340-5990
• Rodent Service Pest
• 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 I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE % TIME 7' 3 rn
DEVELOPMENT NAME (PROJECT) CONTRAgTPR:S NAME , CONTACT PERSON ^„
STRUCTURE ADDRESS(LOTIBLOCK) I A CITY,
NOTES , ZIP CODE
Prtiu'/ 5V5gb
❑ FLOATING 'ErMONOLITHIC
❑ PATIO
❑ GARAGE
❑ DRIVEWAY
❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP &TREAT 'OTREATONLY
❑FINAL
❑POOL DECK
❑OTHER
U
i
PRODUCTS
./
❑ BASELINE a DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
//
ACTIVE INGREDIENT
t�1MIDACLAPRID
❑ BIFENTHRIN
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
405%
^^,,
❑ .06% ❑ .12% ❑ .125%
❑ 23%
❑ 9% ❑ OTHER
GALLONSAPPLIED
SQUARE FOOTAGE I ��
LINEAR FOOTAGE
RECEIVED
SQUARE FOOTAGE VERIFIED
f5] YES ❑ NO
❑ MEASURED OR VERIFIED PER PLANS
DEC 04 2018
JOB READY CONDITIONS MET
ST. Lucie County, Permitting
t11YES ❑ NO
DETAILS
As per 104.2.6 FBC - If soil chemical bander 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.)
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 lime of service.
Date ! Applieatof: (
Date Customer('
Bug Termite and Pest Control, Inc.)
www.evietabugpestcontrol.com
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
772-323-7921
Toll Free: 1-877-365-9990
Fax: 772-340-5990
Email: Evictabug@gmail.com
2373 SW Woodridge St.
• Licensed & Insured Lie. 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 I FARE ANT SERVICE I TERMITESERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATEOFSERVICE /% l U TIME �• �� J
4
DEV�L`/OPSMENT NAME (PROJECT) CONTRACTOR'SSNAME COCO T�� PERSON �/4 4? f' 5'
STRUCTURE ADDRESS (LOTIBLOCK) / /�9� � . /!/ .J(+-( +17_ CITY, STATE �} COUNTY _I
!-�C .��ll�'-v' �"C(^� A ✓� �Or l �Ir° / C-2. S G
NOTES ZIP CORE
V(�
TREATMENT TYPEIAREA
❑ FLOATING g MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS U ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT 6 TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE t�DOMINION2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER VV
ACTIVE INGREDIENT flf IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .12% ❑ .25% .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE LIZ,1 1U LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
YES • ONO MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
YES ❑ NO DETAILS
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 of Agriculture and Consumer Services. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
/"o 0 X
Dat Applicator vidAB
I
Date Customer (P perty
and Pest Control, Inc.))
f -}
Owner or Agent)
wWw.evictabugpestcontrol.00m
a
•
Pest Prevention
ic. JB175775
Termite Protection
M 11111
THIS NOTICE POSTED PURSUANT TO SECTION 104.2.7, FLORIDA
BUILDING CODE AND CHAPTER 482.226, FLORIDA STATUTES
1 'rt - ��
Date ofW Inspectio If Made) ❑Evidence ❑Activity ❑No Activity
2,7
DatdoflnillalTne6innent Materials Used
Date c 'nal erior Trea ent Matedals Used
Wood Destroying Organism Treated For
This property has been Treated and placed under a retreatmentirepair contract for subterranean
termites. This contract is renewable by payment on annual fee. The owner is hereby advised to
have this property inspected annually by Evict -A- Bug Termite & Past Control, Inc.
Evict -A- Bug Termite & Pest Control, Inc. provided the tennHe protection
on this property, CALL US regarding our Past Prevention, FlreAnt Lawn
Service and Rodent Service.; y.
772-323-7921 - 1-877-365-9990F.
www.evictabugpestcontrol.com - evictabug@gmail.com
2373 SW Woodridge St - Port St. Lucie, FL 34953 -
Ca//IaAetryate I'eaP7ermiteCaaraatee
.n
r
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 #: 170Qjff JOB ADDRESS: Z(,00 .Gd y6 / AYZ
BUILDER/CONTRACTOR: �5hal)
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE& PEST CONTROL INC.
PEST CONTROL LICENSE #: J8775775
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: l 262
Percentage of solution:.0521-
Date of Treatment: lz7,
Footing
1st Treatment
Re -Treat
Driveway
Sst Treatment
Re -Treat
Other
ist Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: ),goo
Time of Treatment: 700
Slab
_1" Treatment
Re -Treat
Pools
15t Treatment
Re -Treat
Perimeter for Final Inspection
Si ure of E1 erminator D to
Note: There must be a completed form for each required treatment or re -treatment and thls form must be on the job
site to be picked up by the Inspector at time of each inspection or the scheduled Inspection w111 fall and a re -inspection
fee charged.
FBC104.2.6CertifrcateOfProtectiveTreatment forprevendonoftermites. Aweather reslstentjobsitePosting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment Is completed,
provlding 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 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 bullding 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.
7/24/2014
i
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 #: ) /U 7 _
BUILDER/CONTRACTOR: !9)4oll
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: f ZZO
Percentage of solution: .o50io
Date of Treatment: AIN
I Footing
_SL_jSs, Treatment
Re -Treat
Driveway
e Treatment
Re -Treat
Other
isr Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: �3 DO
Time of Treatment: �;CO
_Slab
_r lstTreatment
Re -Treat
Pools
15L Treatment
Re -Treat
Perimeter for Final Inspection
ig ure of Exterminator Date
3 4q 46
Note: There must be a completed form for each required treatment orre-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 fall and a re -inspection
fee charged.
FBC104.2.6Cel0cateOfProtective Treatment forpreventionoftermites. Aweather resistantjobsitePosting board
shall be provided to receive dupllcate Treatment CerdBcates 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 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 bullding 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.