HomeMy WebLinkAboutTERMITE TREATMENT.pdf• Termite Inspection Je505 Christ is �oX
772-323-7921
• Termite Pretreatment ®EVICT-A-BugT011 fPee:1-811-365-9990
• Pest Control TermiteRodent Service PestFOX: 772-349-5990
Fire Ant Lawn Service ControEmail: Evictabug@gmail.com
Whitefly Treatment Inc.4293 SW High Meadows Ave.
• Licensed & Ensured 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 TIME
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
r
STRUCTURE ADDRESS (LOT/BLOCK) ,. CITY, STATE COUNTY
C.
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NOTES JJ _
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I RCAI IY M I I T VL/AKtA
❑ FLOATING ❑ MONOLITHIC
❑ CUTOUTS ❑ FOOTER
❑ TAMP & TREAT ❑ TREAT ONLY
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑.06% ❑.1%
SQUARE FOOTAGE _
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL/FOOTERS ❑ ADDITION
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ FINAL ❑ POOL DECK ❑ OTHER
❑ DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .12% ❑ .25% O .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
❑ YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
❑ YES ❑ NO 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 the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line 07-\ () A
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
Date
Applicator: (EvictA Bug Termite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
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