HomeMy WebLinkAboutTermite CertEve P64 Imo.
"Considering Your Environment"
State License Number 114708
138 Valencia Street Royal Palm Beach, FL 33411
561-333-87771 FAX 561-333-89991 Toll Free 866 -414 -PEST
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n Property Information
Subdivision: P s L. Lot: Block: Section:
Address
City & Zip
Owner
Name of Builder:
Shell Contractor:
Monolithic:
Driveway:_
Addition:
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Builder / Contractor Information
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Construction Type
Floating/Stemwall:
Other:
Patio: Entry:
Product / Treatment Information
Treatment Date: r 2 G Time: • C m Technician:
Treatment Type Im sl c ck one) Initial Under Slab: _ Suppleme I: _
Product Applied: Cypermethrin: Premise 75 Other
Concentration:Fl _°/ Mixed Product Applied: Gallons
Square Footage Treated: 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)
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Applicators Name (Please Print)