HomeMy WebLinkAboutTERMITE PAPERWORK'-1
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave 9.P, 0)
rti Fort Pierce, FL 34982 "9
772-462-2172 Fax 772-462-6443�i2�
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:_ 09 - � ���JOB ADDRESS: 317( ZLy,a 7�w C,
BUILDER/CONTRACTOR: 7{/C Q�t (Oekl 1 `3
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: ldo %
Percentage of solution:.05%
Date of Treatment: Q -2019
Footin
1't Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Other
1" Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: /G
Time of Treatment: LI 00
> Slab
^� 1st Treatment
Re -Treat
Pools
1s` Treatment
Re -Treat
xxxxx Perimeter pL5hui�Inspection
Note. There must be a completed form for each required
site to be picked up by the inspector at time of each inspe
fee charged.
inator ` Date
Pru
eft or re -treatment and this form must be on the job
the scheduled inspection will fail and a re -inspection
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite 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.
Revised 7/24/2014
-DST �'J w t DO-Ofb
• Term itp'lnspection iqD� Je5�5 Christ is Lord _ / 72-323m7921
• Termite Pretreatment EVICt--A-Bug T011 free: 1-877-365-9990
• Pest Control )fl Termite &
• Rodent Service Pest ME 772-349-5999
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. JBt75775 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 -II FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE I / TIME of G%
DEVELOPMGNj NAME (PROJECT) CONTRACTQR'S NAME CONTACT PERSON
STRUCTURE ADDRESS (LOTIBLOC
7 / do/ten Tk � ''J ,STATE.)
/� _
COUjJTY C�
,NOTES
tre'A41
190q -asz r. � ��u
rs x i
_
ZIP
C � DE
3 (� �
❑ FLOATING
WMONOUTHIC
❑ CUTOUTS
❑ FOOTER
❑ TAMP & TREAT
�l TREAT ONLY
PRODUCTS
❑ BASELINE
❑POTHER
ACTIVE INGREDIENT
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION.
❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ OTHER RECEIVED
OCT-0 9 79;c
DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE
❑ PATIO ❑ GARAGE
❑ FRONT ENTRY ❑ RETREAT
❑ FINAL ❑.POOL DECK
El PREMISE ❑TALSTAR
}j IMIDACLAPRID ❑ BIFENTHRIN
Permitting De'kent
,rtm St. Luce E J trim
❑ DISODIUM OCTABORATETETRAHYDRATE
CONCENTRATION ��11
❑ .06% ❑ .1% ❑ .12% ❑ .25°/gqa4.05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED 'y
SQUARE FOOTAGE �(lY LINEAR FOOTAGE
i
SQUARE FOOTAGE VERIFIED
l71 YES ❑ No -Q MEASURED OR VERIFI D"PER PLANS
JOB READY CONDITIONS MET
YES ❑ NO DETAILS
Asper 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 ❑
Payment Terms: Payment due at lime of service.
�y
Date
and Pest Control, Inc.)
Date Culomef(Proprrly`Owner or Agent) ...Pmu.;,;`,,,uuw�"�
www.evictabugpestcontrol.com