HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
RECEIVED
AUG 2Z, 2019
ST. Lucie County, Permitting
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: i970 �o JOB ADDRESS: 1(Zo SP%�r7� �� �o��✓ icy
BUILDER/CONTRACTOR: o. �-4
PEST CONTROL CONTRACTOR: EVICT -A -BUG TERMITE & PEST CONTROL INC.
PEST CONTROL LICENSE #: J13175775
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: 50 ( r=
Percentage of solution: •05%
Date of Treatment: g -201s
Footing
1V Treatment
Re -Treat
Driveway
1' Treatment
Re -Treat
Other
1' Treatment
Re -Treat
Note: There must be a completed form for each
site to be picked up by the inspector at time ofe�
fee charged
Chemicals used: DOMINION 2L
Total gallons used: f 2�
Time of Treatment: 12 = 0 Ed
Slab
1't Treatment
Re -Treat
Pools
1' Treatment c; .I-�c�O
Re -Treat L1
xxxxx Per' eter fo nspection °Grp
L
AAA
treatment orre-treatmentand this form must be on thejob
Won or the scheduled inspection will fall and a re -inspection
FBC304.2.6 Certificate of protective Treatment for prevention of termites A weather resistantjobsite posting board
shall be provided to receive duplicate Treatment Certrrrcates as each required protective beabnent is completed,
providing a copy for the person the permitis issued to and another copy for the building permitfi/es The Treatment
Certificate shall pro vide 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 chemip/ barrier method fortermite prevention /s used, final exterior be bnent shall
be completed prior to final bu//d/ng 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
• Termite Inspection
• Termite Pretreatment
• Pest Control
• Rodent Service
• Fire Ant Lawn Service
• Whitefly Treatment
772=323=7921
Toll PER. 1.877 385-9989
fax: 772 349.5809
Email: Evictabug@gmail.com
4293 SW High Meadows Ave
• Licensed & Insured Lic. JB175775 Is
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 1115.2.2)
PEST PREVENTION I VIREANTSERVICE I7TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OFSERVICE ) / TIME I L O d
S�&2'(C
17
STRUCTURE ADDRESS (LOT/Bf W) `l
IN STAT
OUNTY
NOTES —
f
/
ODE
//� -/-� { _
"(�2u�T-( 1 �D'"U'OSZIP`
OUI
TREATMENT TYPEIAREA
❑ FLOATING ❑ MONOLITHIC
❑ PATIO
❑ GARAGE
❑ DRIVEWAY
d'6EM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER
❑ FROM ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT
ElPLUMBING CUTOUTS ❑ SIDEWALKS.
❑ TAMP 8 TREAT ,JTjREAT ONLY
INAL _
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
DYIMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑.06% ❑.1% ❑.12% ❑.25% V.05% _ ❑23% 09%- ❑OTHER G/ALLONSAPPLIED Z
SQUARE FOOTAGE LINEAR FOOTAGE �}
SQUARE FOOTAGE VERIFIED. =AUG2
YES ❑NO AI -MEASURED OR VERIFIED PER PLANS JOB READY CONDITIONS MET
4 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.) ^ p�
If this notice is for the final exterior treatment, Initial and date this line �i I /r'j %� v ` — 1
r ` �
FINAL STICKER
ELECTRICAL PANEL ❑ WATER HEATER ❑
Payment Terms, Payment due at time of service.
Date
and Pest Control, Inc.)
Date
OwnerorAgent)
www.evictabugpestcoritrol.com