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Notice of Preventative Treatment for Termites Palm City, FL 34990
(as required by Florida Building Code (FBC) 104.2.6, 105.10 & R318.1 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I -IRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE S TIME -)-, S
u VELOP NT NAME /ROJECT) j
YIYIcY ¢ S Ca talo
STRUCTURE ADDRESS (LOT/BLOCK)
SUSS% l--u—Vo
NOTES&
TREATMENT TYPE/AREA
❑ FLOATING ❑ MONOLITHIC
❑ CUTOUTS ❑ FOOTER
J6TAMP & TREAT ❑ TREAT ONLY
CONTACT PERSON
l,�i ��t l7UNGV 1 Po r/ulls I i
NCI STATE
-F2�. lm
❑ PATIO ❑ GARAGE ARIVEWAY
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT
FINAL ❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE kDOMINION 2LACTIVE INGREDIENT
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
C,
COUN
CO JuC,C
ZIP CO�DEE�
-3(7 %s/
❑ STEM WALUFOOTERS ❑ ADDITION
❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
AIMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .O6% ❑ .1% L3.12% ❑.25% Q.05% ❑ 23% ❑ 9% ❑ OTHER GALLONSAPPLIED
SQUARE FOOTAGE _ S L LINEAR FOOTAGE ADO
SQUARE FOOTAGE VERIFIED
0('ES ❑ NO
JOB READY CONDITIONS MET
l� ES ❑ NO
MEASURED OR VERIFIED PER PLANS
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 thp Florida Building Code.)
f this notice is for the final exterior treatment, initial and date this line
'INAL STICKER
ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
layment Terms: Payment due at time of service.
)ate
gate
Applicator: (E icSA ug Termite and F
�l I
Customer (Property Owner or Agent)
Control, Inc.)
www.evictabugpestcontrol.com