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o 7921• Termite Inspection- r 772 323
• Termite Pretreatment -Bug a Toll free: 1-877-385 9908
• Pest Control - Termite &
Rodent Service Pest for 772-349-5999
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadows Ave.
• Licensed & Insured Lic.J6175775 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 FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE I U- 1 -�> ' l�' G TIME 4
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DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS(LOTIBLOCk) CITY,STATE COUNTY
NOT%n�,. �IP D�`7
TREATMENT TYPEIAREA
❑FLOATING O.Mot OLITHIC ELPATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ( ❑PLUMBING CUT OUTS ❑,SIDEWALKS
O TAMP&TREAT ❑TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS C rde
❑BASELINE li DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT O IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% 0_.05% ❑23% ❑9% ❑OTHER GALLONSAPPLIED 1-'A
J
SQUARE FOOTAGE r-369-6 LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
YEj1-- ❑NO O MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET '
OYES' LINO DETAILS
"Certificate of Compliance"
As per l04.2.6,105.10&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.)
1:.
If this notice is for the final exterior treatment,initial and date this line
r
FINAL STICKER fit'
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER ''
Payment Terms: Payment due at time of service. ,
wu4Al'ayn,,,
Date / Applicator(Evict A Bug Termite and Pest Control,Inc.)
Date / Customer(Property Owner or Agent) '
www.evictabugpestcontrol.com