HomeMy WebLinkAboutCertificate of termite treatment ` siaerinour criviro
State License Number 114708 �j�
138 Valencia Street Royal Palm Beach, FL 33411
561-333-8777/FAX 561-333-8999/Toll Free 866-414-PEST
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Property Information
Subdivision: Lot: Block: Section:
Address ) 2
City&Zip
Owner
Builder/Contractor Information
Name of Builder: pir G `l v�rt—
Shell Contractor:
Construction Type
Monolithic: Floating/Stemwall: Patio: Entry:
Driveway:
Addition: Other:
Product 1 Treatment Information
Treatment Date: I H Time: Technician:
Treatment Type(m st Che one) Initial Under Slab: _ Supplemental:
Product Applied: Cyethrin: Premise 75_Other
Concentration: ill % Mixed Product Applied: -7 0- Gallons
Square Footage Treated: 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)