HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEPlanning & Development Services SCANNED
Building & Code Regulation Division
VF@2300 Virginia Ave St"
,COUNTY Fort Pierce, FL 34982 cle County
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT[`
CONSTRUCTION SOIL TREATMENT
PERmrr #: 131 �'6qn JOB ADDRESS: 4�7� S
�L 3y9�z
BUILDER/CONTRACTOR: n
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE& PEST CONTROL IN
PEST CONTROL LICENSE #: J81T`'775
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:
Chemicals used: DOMINION 2L
Total gallons used: �02
Time of Treatment:
Footing Slab
i5t Treatment 1st Treatment
Re -Treat Re -Treat
Driveway Pools
1st Treatment
1st Treatment
Re Treat
R Treat
6X'0thyr Perimeter for Fin spection
1st Treatment
Re -Treat
Ignature of Extermin ate
Note: There must be a completed form for each required treabment 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 fall and a re -Inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather, esistantjobslte 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 Tieatrnent
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 soll 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.
• Termite Inspection v" JeSus Christ is lorq 772_323'i=7921
• Termite Pretreatment ®EY�it-A-Bug Toll Free: 1-877-365-9990
• Pest Control Termite & Fax: 772-340-5990
• Rodent Service Pest
• Fire Ant Lawn Service - Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 2373 SW Woodridge St.
• Licenser }�8 �� Lic. JB175775 /�// _6 5/0 Port St. Lucie, FL 34953
By Notice of Preventative Treatment for Termites
St. Lucie CArn4CAuired by Florida Building Code (FBC) 104.26 and Browaid County Chapter FBC 105.2.2)
PEST PREVENTION I FIIRREE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL ` I WHITEFLY TREATMENT
DATE OF SERVICE L - I D TIMES � ,
. VELOPMENTN MEC� (PROJEF) RACTOR'S NAJ, :. -/ ONTACTPERSON
- e I -i�ai-�.�c4�1/1�IN';' I �l„/I� ' `ifi - �I • ��IS
�e 'STRUCTURE 9S (LOTIB OCK) CITY, STATE ... ^ , S�UNTY
/^tJC. ! e
TES '�ZIP CODE
-7n- of FBC I 11M�I�i�Ce 1115 ��►�%�a
TREATMENT TYPEIAREA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE .
❑ DRIVEWAY ❑ TEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT LUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT
ATREAT ONLY
❑ FINAL
❑ POOL DECK
❑ OTHER
PRODUCTS
❑ BASELINE DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
ACTIVE INGREDIENT
CONCENTRATION
. IJMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .12% ❑ .25% OEl 23% ❑ 9% ❑ OTHER GALLONS APPLIED
SQUAREFOOTAGE-Gb s/�� LINEAR FOOTAGE
iES ❑ NO /,-OEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
�1\ ES ❑ 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.) _ P& ;!
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 time of service.
L
Date
❑ OTHER
(Evict A Bug Termite and Pest
Date
Customer
www.evictabugpestcontrol.com
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