HomeMy WebLinkAboutPre-construction subteranean termite treatment Eve � Na M , f+vc.
"Considering Your Environment" ,
Statelicense Number 114708
138 Valencia'Street Royal Palm,Beach, FL 33411
561-333-8777/Cell 561-202=5625/Cell 561-723-1106/evergladespest@gmail.com
Property Information
,Subdivision: �T.� G L Lot: Block: Section:
Address `7 2 9 7�4/.A ek � �-
City-&Zip
Owner
Builder/Contractor Information
Name of Builder:
Shell Contractor:
Construction Type
Monolithic: Floating/Stemwall: Patio: Entry:
Driveway:
Addition: /7- J6ther:
Product/Treatment Information
Treatment Dater i 1 Time: D1 Oa Technician:
Treatment Type(m st cn k one) Initial Under.Slab: rZ Supplemental:
Product Applied: Cypermethrin: Premise 75'
Other
Concentration: r O\ % Mixed Product Applied:�L_a 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)
Applicators Name (Please Print) -