HomeMy WebLinkAboutNotice of Preventative Treatment for Termites•,Termite Inspection e5us Christ is dot 012-323-7921 J
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Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBG 1'05.2.2)
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I- RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE "I — I Z` l TIME 0
DEVELOPMENT NAME (PROJECT) C $ CONTRACTOR'S NAME COON'TAC)T PERSON
w �'•`dere-j0
STRUCTURE ADDRESS (LOTIBLOCK) _ 55 rn / CITY, SrTATE COUNTY
NOTES _ y U ZIP CODE .
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TDCATIIAC\IT TVDCIADCA
,Cl FLOATING MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLIFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT "TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE �DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC. ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT p IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION �!
❑ .06% ❑ .1% ❑ .12% ❑ .25% O�.05% ❑ 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE �% C� LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
01YES ❑ NO
JOB READY CONDITIONS MET
/YES ❑ NO
�f01EASURED OR VERIFIED PER PLANS
DETAILS
GALLONSAPPLIED
As per 104.2.6 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
FINAL STICKER ;
❑ ELECTRICAL PANEL EI WATER HEATER ❑ OTHER }S'
Payment Terms: Payment due at time of service. ,a
'.-12-(�
Date
and Pest Control, Inc.)
Date
Customer
www.evictabugpestcontrol.com • .