HomeMy WebLinkAboutCERTIFICATESPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave kl) 1�0
Fort Pierce, FL 34982 span
772-462-2172 Fax 772-462-6443 cpn4;a'r
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 170 04 `Q JOB ADD�tSS: ?/�3 h10tz ,,J iZD r(-
BUILDER/CONTRACTOR: EK — 7tq t/6
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: --jSQQF Chemicals used: DOMINION 2L
Percentage of solution: .05% Total gallons used: 60
Date of Treatment: S 2p Time of Treatment: 14 ; O o
Footing
1't Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
in Treatment
Re -Treat
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
_ Re -Treat
for Final Inspection
of Exterminator Date
Note; There must be a completed form for each re¢ti eed 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.
FBC304.2.6CerdriicateofProtective Treatment forpreventionoftermites. Aweather resistantjobskeposting 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 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 �e5�s Christ is Lorq `'772-323=7921
• Termite Pretreatment ® [Viet-A-849 T011 free.1-977-365-9996
• Pest Control >$ Termite &
• Rodent Service Pest feX:172-349-5999
• Fire Ant Lawn Service - Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. JB175775 Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6, 105.10 & R318.1 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I r/.FARE ANT SERVICE I TERMITE SERVICE I
DATE OF SERVICE 57 (O TIME 1 GG 0
RODENT EXCLUSION & REMOVAL I
WHITEFLY TREATMENT
DEV LO�PM�iT NAME (PROJECT)
COI�T7TORI S
�In,
CONTACT PERSON
STRUCTUR'E�A�SdRESS (LOT/BLOCK)
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C�Ty,
, ' , , !\
TATE .CO
fell..,
NTY
C N
9 �
—
NOTES/ML/1
ZIP CODE
TREATMENT TYPEIAREA _
❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE
❑ CUTOUTS ❑ FOOTER ii❑ FRONT ENTRY ❑ RETREAT
❑ TAMP & TREAT ''TREAT ONLY FINAL - ❑ POOL DECK
PRODUCTS
❑ BASELINE
YOMINION 2LACTIVE INGREDIENT
ElOTHER
ACTIVE. INGREDIENT
CONCENTRATION
❑ DRIVEWAY El STEM WALUFOOTERS ❑ ADDITION
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ OTHER
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
10'IMIDACLAPRID ❑-BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .1% ❑ .12% ❑ .25% b1.05% ❑ 23% ❑ 9% ❑ OTHER GALLOONS APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE 159
SQUARE FOOTAGE VERIFIED
IYES ❑ NO
g"MEASURED VERIFIED PER PLANS
JOB READY CONDITIONS MET
❑1YES ❑ NO
DETAILS
"Certificate of Compliance"
As per l04.2.6,105.10 & R318.1 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 Service . (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line 2�
FINAL STICKER
❑ ELECTRICAL PANEL ❑WATER HEATER ❑OTHER
Payment Terms: Payment due at time of service.
LG
Date
Termite and Pest Control, Inc.)
Date Customer (Property Owner orAgent)
www.evictabugpestcontrol.com
'I
a.
Pest Prevention
ic. JB175775
i
Termite Protection
THIS NOTICE POSTED PURSUANT TO SECTION 104.2.7, FLORIDA
—B7"�'° IN� EAN�TER4 .226,FLORIDA STATUTES
Date of WD Inspech�lf Made) ❑ Evidence ❑ Activity ❑ No Activity
Dale of Initial Trea ment Maleri Used
Dat—�Fina Ext or Tret\nent Materials Used
Wood Destroying Organism Treated For
This property has been treated and placed under a retreatmentimpair contract for subterranean
termites. This contract is renewable by payment on annual tee. The owner is hereby advised to
have this property inspected annually by Evict -A- Bug Termite & Pest Control, Inc.
Evict -A. Bug Termite & Pest Control, Inc. provided the termite protection
on this property. CALL US regarding our Pest Prevention, Fire Ant Lawn
Service and Rodent Service. C
772-323-7921 • 1-877-365-9990d
www.evictabugpestcontrol.com • evictabug@gmail.com
4293 SW High Meadows Ave. • Palm City, FL 34990
CallAlt AoUuala Your I9rm/19 Gaaraolaa
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_ Planning & Development Services
Building & Code Regulation Division
® 2300 Virginia Ave
> Fork Pierce, FL 34982
772-462-2172 Fax 772-4e2-e443
BUILDER/CONTRACTOR.M& AMC( le, I&OIS /n�..f!«Y�T�nv. —
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: Vq z
Percentage of solution: .05%
Date of Treatment:
Footing
Chemicals used: DOMINION 22Lt
Total gallons used: t0
Time of Treatment: L5' G
Slab
i5t Treatment 1st Treatment
Re -Treat Re -Treat
Driveway Pools
11t Treatment 15t Treatment
Re eat Re -Treat
� Other P imeter for Final Inspection
1 t reatm t /
Re -Treat
S' ure of Exterminator Date
Note; There must be a completed form for each require treatment or re -treatment and this form must be on the fob
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.
FECID4.2.6CertlfrcateOfProtectiveTreatmentforpreventlonoftermites, Aweatherresisiantjobs/tepostingboard
shall be provided to receive duplicate Treatment Certificates as each required protective treatment Is completed,
providing a ropy for the person the permit Is Issued to and another copy for the bullding permit flies The Treatment
Cerdflcate 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 ofgallons used, to establish a veriAable record of
protective treatment. If the soil chemical barrier method for termite prevention fs used, final exterlor 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 boss cover, listing all the treatments and dates of applications.