HomeMy WebLinkAbout06050362
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Pre-Construction Termite Treatm
1-800-285-7378
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BuDder/Contractor
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Name ofBuildcr
Property Information
'Ireatmem Date {¿-It/-() 1 'Ibne / ( ~~
7Átz.. ;:]O/?-<?s 4i*h b~ ~ ,
Subdivision Name \
7'1of- ~/),)n1er<, 10-/
Sn:eet~il Q£þown)
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City S~e Zj¡J
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Shell Contractor
COI.ttUctiOD Type
MonoUthic: ~ fIoatingIStemwaU___
Patio ___
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Owner:N~ (Ifknown)
ProductITreatm~nt. Information . /
'Irea:cment 'JYÞe; Underslab _ PatIO/Dnveway ____ FUta1 _ .
Otber_
Wood T1eatment
Produ.ct: Disodium Octa.borate (Bomcare )
Concentration
~ 5%
Other
PrQþ\1ild TC ypennetbrin
Vf?~/t~ 'P~m~'/A
Mixed roduct Applied / 'f. t..f- 8"1-/ .s
Linear Feet Treated Ó,",=,
Square Feet Treated
If this box is checked, then Final Perimeter tteatment has
been completed and the following statement is applicable:
Certificate of Compliancé: This building has received a complete treat.t:Qent for the prevention of
snbtemaĊan tennites~ This treatment is in accordance with the roles and la~ established by the
Florida Department of Agriculture and Consµmer Services.
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Applicator's Name (please print)
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Applica.tor's Signature
HEs- 'IEO 19 bv n?I06
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