HomeMy WebLinkAboutInspection Docs p4fla
",aamr sidieri-rig cnvi
State License Number 114708
138 O
138 Valencia Street Royal Palm Beach, FL 33411
561-333-8777/FAX 561-333-8999/Toll Free 866-414-PEST
��- Tvw,.�U T
Property Information
Subdivision: Lot: Block: Section:
Address 1 11�D17N
City &Zip
Owner
Builder!Contractor Information
VAL
Name of Builder: +
Shell Contractor:
Construction Type
Monolithic: _� Floating/Stemwall: Patio: Entry:
Driveway:
Addition: Other:
Product 1 Treatment Information
Treatment Date: l y Time: Technician: -=�
Treatment Type(At the one) Initial Under Slab: �Supplemental:
Product Applied: Cype'�ethrin: Premise 75 Other
Concentration: % Mixed Product Applied: 7 G Gallons
Square Footage Treated: G 0 Linear Feet Treated:
If this is checked, then final perimeter treatment has been completed and the
following statement is applicable:
Certificate of Compliance:THIS BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE
PREVENTION OF SUBTERRANEAN TERMITES. TREATMENT IS IN ACCORDANCE WITH THE RULES AND
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES.
(Florida Building Code(FBC)1816.1.7)
`,� , �- ► �
Applicators Name (Please Print)�� i