HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services
- Building & Code Regulation Division Sy 9N
• 2300 Virginia Ave �
• Fort Pierce, FL 34982 eC
772-462-2172 Fax 772-462-6443 0%
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 80' -OSl E JOB ADDRESS: W(ba-=c Pec>41 T)- /62e^c-rL
BUILDER/CONTRACTOR: IWI— l0v c 3t1 � 8
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: Chemicals used: DOMINION 2L
Percentage of solution: -06%
Date of Treatment: Q -2019
Footing
X 1t Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
Other
1't Treatment
Re -Treat
Total gallons used: X.-0
Time of Treatment: oG ,C v
! Slab
1t Treatment
Re -Treat
Pools
1't Treatment
Re -Treat
xxxxx Perimeter for Final Inspection
PAUL C LUGARA JR ��LNNISADWMIMI�W
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.
FBC104.2.6 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 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.
ReVINCL //L4/LU14
p #
5 Christ i�tis�g o q72 323 7921
• Tc- mite Inspection is
'if Termite Pretreatment EVICt-A-BIIO T011 No.1-611-365.999�
• Pest Control Termite & C
• Rodent Service Pest Fax: 772-340-5999
• 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 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION /J7 IRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE IO/ / TIME 9: OC )
DEVELOPMENT NAME (PR JECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK (( �f -/�) CITY, STATE/J
�j �{I �/I U// ((�' Z�Lc� //l.,`J r/ �C/—' /_ Gt�r t �T / r f✓/� � / /qt �P� C✓- Q
NOTES
❑ FLOATING
❑ CUTOUTS
TAMP & TREAT
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGREDIENT
MONOLITHIC
❑ FOOTER
❑ TREAT ONLY
❑ PATIO
❑ FRONT ENTRY
❑ FINAL
QI DOMINION 2LACTIVE INGREDIENT
❑ GARAGE ❑ DRIVEWAY ❑ STEM WAL (FOOTERS ❑ ADDITION
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ POOLDECK ❑ OTHER
RECEIVED
❑ TERMIDOR SC ❑ BORACARE
❑ PREMISE ❑ TALSTAR Der
0 71D19
0IMIDACLAPRID O BIFENTHRIN
CONCENTRATION
❑ .06% ❑ .1 % ❑ .12/% ❑ .25% 1 .05% El ❑ 9% El OTHER.
SQUARE FOOTAGE �/:�1 r
PYES ❑ NO
JOB READY CONDITIONS MET
W YES ❑ NO
bMEASURED OR VER IF EI D PER PLANS
DETAILS
Pern'tting De artment
❑ DISODIUM OCTABORATE TE1%I41UBfA° unty
GALLONSAPPLIED z2b
As per 104.2.E 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.) _ f a
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.
h��
Date Applicator. (Evid
Termite and Pest Control, Inc.)
Date
orAgenl)
www.evictabugpestcontrol.com