HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTPlanning & Development Services SC By
Building & Code Regulation Division
2300 Virginia Ave St. Lucie County
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: Maq 05-19 JOB ADDRESS: 90qc �- MZA?,(-, (d Pere
BUILDER/CONTRACTOR: K-)2- 6 MAW /24WC44t.2
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: GYP
Percentage of solution:.05%
Date of Treatment: /.�L-'/y " f i2k
Footing
1't Treatment
Re -Treat
Driveway
1't Treatment
Re -Treat
O ertherth u
1' Treat nt
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: )_0
Time of Treatment: / / � o d
Slab
1s` Treatment
Re -Treat
Pools
1 st T...oF.......f
of
Final
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 forpievention 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.
Revised 7/24/2014
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA
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:
Percentage of solution:.05%
Date of Treatment: 4%r -2019
Footing
1s` Treatment
Re -Treat
Driveway
1'` Treatment
Re -Treat
Other
1st Treatment
Re -Treat
Chemicals used: DOMINION 2L
Total gallons used: 2c) r-2>
Time of Treatment: _IO % O0
Slab
Is'Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
xxxxx Perimeter fjcdr Fib
Exterminator
Note. There must be a completed form for each required--O�eatment 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 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
14' I(304.ljfs qj
• Termite Inspection }
• Termite Pretreatment e
• Pest Control
• Rodent Service i
I
• Fire Ant Lawn Service
• Whitefly Treatment
• Licensed & Insured Lic.JB175775
t is
:Inc.BugTull free:1-817 385-9999
TermfeX: 772-349-5998
Pest -
ContEmail: Evictabug@gmail.com
4293 SW High Meadows Ave.
Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC)104.2.6, 105.10 & R316.1 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 /a- (�7 - I_ - TIME _11 - O CI
DEVELOPMENT NAME (PROJECT) Cp�j\1TRACTOR'S NAME CONTACT PERSON
17 %i nL�, r - r r JAII ` n L. / ve l-l6-J 0,1 A
STRUCTURE ADDRESS (LOT/BLOCK) y CITY, STATE CO''UrrTY
9r7� G, /„ ru I�G/� 1 ece
NOTES _,.! - ZIP CODE
r�
r%
TREATMENT TYPFJAREA
❑ FLOATING
❑ MONOLITHIC
ATIO
❑ GARAGE
0�VEWAY
❑ STEM WALUFOOTERS ❑ ADDITION
e��ONT
❑ CUTOUTS
❑ FOOTER
ENTRY
❑ RETREAT
❑-BORA CARE TRIEATME
T ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP &TREAT,
r,rZEAT ONLY
�/
�\
❑POOLDECK
P—OTHER )1
V
U� ov
PRODUCTS
I
❑ BASELINE
GP DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
ACLAPRID 0BIFENTHRIN
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% 0 .1%
❑ .122% ❑ .25%
CE,(.05% ❑ 23%
❑ 9% ❑ OTHER
GALLONS APPLIED f 56
SQUARE FOOTAGE
%L l
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
OYES ❑ NO c11MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
�IYYES`- ❑NO DETAILS
"Certificate of Compliance"
As per 104.2.6,105.10 & 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 Services. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line
FINALSTICKER t z
ECTRICAL PANEL ❑ WATER HEATER jOTH'E)
®Payment Terms: Payment due at time of service. //II -
01 .(
2.
Date
Control, Inc.)
Date
Owner orAgent)
www.evictabugpestcontrol.com