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• Termite Inspection u5 Christ is 772-323-7921
• Termite Pretreatment e5 fVlCt-Alug` a - - -9990
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• Rodent Service Termite � Fak 772.649-5999
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• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic. JB175775 Palm City, FL 34990
Notice of Preventative Treatment for Termites
(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 1 RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE t7 ,-A) TIME
DEVELOPMENT NAME (PROJECT) ONTRACTOR'S NAME (� ONTACT PERSON S�
FC((j( � n+ 1 t-, rSe.� ��co+ �.o .5� . 1
STRUCTURE ADDRESS (LOTBLO CITY„ STAT / OUNTY
40I C, rt ,ePlce
NOTESf ZIP CQDE
--n i mLmi I TPLIAREA
❑ FLOATING
❑ MONOLITHIC ❑ PATIO
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER ❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT
[_TREAT ONLY FINAL
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
IJ' DOMINION 2L ACTIVE INGREDIENT
❑ TERMIDORSC ❑ BORACARE '❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
AMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .06% ❑ .1% 13.12% ❑.25%4 A.05% ❑ 23% ❑ 9% ❑ OTHER GALLONSAPPLIED %
SQUARE FOOTAGE LINEAR FOOTAGE o O
SQUARE FOOTAGE VERIFIED
110 YES ❑ NO MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
YES ❑ NO DETAILS
"Certificate of Compliance"
Asper 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 ' ( �� 0-1 o
FINAL STICKER �
ELECTRICAL PANEL ❑ WATER HEATER
Pa mem Payment due at time of service.
��rl�bA�
Dai
Date
❑ OTHER '1
Applic4�EitAnite and est Control, Inc.)
Customer (Property Owner or Agent)
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www,evictabugpestcontrol.com
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