HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTplanning &DevelopmentServices SCANNED
Building & Code Regulation Division BY
23oo Virginia Ave St. Lucie County
• a Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CMG ,TRFgCA7E OF TERMITE TREATMENT
PERMIT #: 17/� — ®� 77 JOB ,��RES�. 15l 'v�C� �(//�i�r��� �J �� SL 3�f S'S7
I --
PEST CONTROL CONTRACTOR: 'p a GTERMITE &
PEST CON I
PEST CONTROL LICENSE #: ee"ma's
eby certify that we have pretreated the above described construction for
sWe, the ubterranean termites inraccordance with the standards of the National Pest Control Association -
Square feet if area treated: Cf
Percentage of solution:.osi. —
Date of Treatment: 92
_Footing
N( _id Treatment
Re -Treat
Driveway
1st Treatment
Re Treat
Other
1st Treatment
Re -Treat
Note: There must be acompleted
pletef r timr each
e a of e
site to be picked up yinspector
char ed
Chemicals used: ooMiNioN z�
Total gallons used:
Time of -Treatment: 7 ,0 O
Slab
ist Treatment
Re -Treat
Pools
15c Treatment
for FjpA Inspection
of Exterminator Date
ed treatment or re -treatment and this form must be on the job
inspection or the scheduled Inspection w111 fall and a re -Inspection
fee g
Falb®4.2.Gu Certificate of Protective Treabnent for prevention of termites A weather resistantJobsite posUng board
shall be provided o receive duplicate Treatment Certificates as each required protective treatment s completed,
providing a copy for the person the permit is Issued to and another copy for the bu1lding permit files The Treatment
tm
Certificate chemical used,
the Pconcentrationntit of the and numberofgallons used, todate
establish a veerflab/e�record ofstelca
protective area
treated, chemical used, percent
protective treatment. If the soil chemccal battler method for termite prevention is used, final exterior treatment shal
be completed prior to final building approved
St Lucie (County requires for the ffonal Inspection for Cola permanent.Sticlter to be placed on
the electrical Panel boss cover, llsting ail the treatments and dates of applications.
� l Z--
b" ��St
a
• Termite Inspection
is
s �o
7 2-323-7921
• Termite Pretreatment
® fVICt A -Bug t�
Toll Free: 1-877-365-9990
• Pest Control
• Rodent Service
$ Termite 8
Pest
Fax: 772-340-5990
• Fire Ant Lawn Service
Control,
Email: Evictabug@gmail.com
• Whitefly Treatment
Inc.
2373 SW Woodridge St.
• Licensed &Insured L'°• esnsns .
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 " ��' I b i Ua I l CA([ {o N0j:0
-S TIME
M)39(-
DEVELOPMg T NAME (PROJECT)
CONTRA TOR'S NAME n
CONTACT PfR§Q�
STRUCTURE ADDRESS (LOT/BLOCK)
CITY, STATE_
NA
COUNTY
Aire %_,
I'
f j`r.e
NOTES
y toes I ,� (
; # I `lOJ 00111
ZIP CODE
3tI 1 C5
TREATMENT TYPEIAREA
-.
❑ FLOATING ❑ MONOLITHIC ❑ PATIO
❑ GARAGE ❑ DRIVEWAY
❑ STEM WALUFOOTERS ❑ ADDITION
of CUTOUTS 31Iff, FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑TAMP&TREAT V TREATONLY ❑FINAL
❑POOLDECK ❑OTHER
PRODUCTS
❑ BASELINE DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
\ O OTHER
ACTIVE INGREDIENT j71MIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION ,
❑ .O6% ❑ .12% ❑ .25% // µ1'J .05% ❑ 23% ❑ 9% O OTHER GALLONSAPPLIED
SQUARE FOOTAGE fo LINEAR FOOTAGE
0
SQUARE FOOTAGE VERIFIED
VYES ❑ NO
JOB READY CONDITIONS MET
BYES ❑ NO
MEASURED 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 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.
-
Date / /nppliCat r: (Evict ABuo Termite and Pest Control. Inc.)
Date 'tustomer (Peeqbwne
r or Agent) �4-7� www.evictabugpestcontrol.com