HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEe
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 #: /'2/, YV`9 JOB ADDRESS:
BUILDER/CONTRACTOR: Dom, L
PEST CONTROL CONTRACTOR: EVICT-A-BUGTERMI
PEST CONTROL LICENSE #: JB175775
& PEST CONTROL INC.
SCANNED
By
St. Lucie county
F'Vt 15C,
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: O
Percentage of solution: .06% • OS
Date of Treatment: q -!St T 57
Footing
�-iPt Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1' Treatment
Re -Treat
Chemicals used: BAS&INE
Total gallons used: ZOO
Time of Treatment:
ab
L--?'ireatment
Re -Treat
Pools
1st Treatment
Re -Treat
PAULLUGF
Signature
Date
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 will fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites A weather resistantjobsite 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. 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 soli chemical bamer method for termlte 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.
7nar1ni a
1
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 #: 19 12, - O6 34 JOB ADDRESS:
BUILDER/C NTRACTOR: I
JN'15F�
3i60 --V'Aduskt-.a.l 91bN 4,140 If,
PEST CONTROL CONTRACTOR: EVI T-A-BUG TERMITE&
PEST CONTROL LICENSE #: JB175775
INC.
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: q066
V�r
Percentage of solution:.06%
Date of Treatment: J
Footing
1t Treatment
Re -Treat
Driveway
1s` Treatment
Re -Treat
Other
1n Treatment
Re -Treat
Chemicals used: BASELINE
Total gallons used: 0
Time of Treatment:
Slab
1`t Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
Perimeter for Final Inspection
PAUL LUGARA ,'�m'bueai�mnam 6-11-2016
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 time of each inspection or the scheduled Inspection will fail and a re -inspection
fee charged.
FBC104.2.6Cert/ficateofProtectiveTreatmentforpreventionoftermites Aweatherresistantjobsitepostingboard
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permitis 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 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
• Termite Inspection Jes05 Christ is lorq
Termite Pretreatment ® EUICf A -Bug
Pest Control Rodent Service a�`�o . Termite &Pest
• Fire Ant Lawn Service 6 ti51�� - Control,
• Whitefly Treatment EE oaoevo`�"�`a Inc.
Licensed & Insured pei Gt i J6175775
_►72-323-7921
Toll free: 1-877 385.9999
ME 772-349-5999
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 II TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE 2 -ZZ - I Q '
TIME L ' 30
DEVELOPMENT NAME (PROJECT)
Doyle .17
CONTRACTOR'S NAME
�� 45a56'A 4-
CONTACT PERSON
ke
-7
�ZI —SAS
STRU TURE ADDRESS(LOT/BLOCK)
CLOD
_ ( CITY, TATE
LnCJSir rti
COUNTY
Y
.57-4tz'e
NOTES
`L
G44rn �1
Z '66
ZIP CODE
�19
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE ❑ DRIVEWAY
❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑� FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT El PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT
❑ TREAT ONLY
U&INAL
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
,4 DOMINION 2LACTIVE
INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
y AMIDACLAPRID O BIFENTHRIN
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .1%
❑ .12% ❑ .25%
A.05% ❑ 23%
❑ 9% ElOTHER
GALLON_SAPPLIED Na
3150
SQUARE FOOTAGE
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
RYES
❑ NO
MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
.BYES
❑ 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.)
C`1 If this notice is for the final exterior treatment, initial and date this line , Tr Z-2 2 ) R
FINAL STICKER
ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms, Payment due at time of service.
-Z -ZZ -lq
Date
n
Termite and Pest Control, Inc.)
Date
Customer (Property Owner orAgenl)
www.evictabugpestcontrol.com