HomeMy WebLinkAboutTermite cert, driveway/patio• Termite Inspection
505 Chnst is Lo
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• Termite PretreatmentfVICt-A-Bug
• Pest Control
Termite &
• Rodent Service
Pest
• Fire Ant Lawn Service
Control,
• Whitefly Treatment
Inc.
• Licensed & Insured
Lic.JB175775
772-323-7921
full free:1-811385-0989
fax:112-340-5998
Email: Evictabug@gmail.com
4293 SW High Meadows Ave.
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
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE COUNTY
NOTES ZIP CODE
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL/FOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT
❑ TREAT ONLY
❑ FINAL
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
❑ DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
❑ IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .1%
❑ .12 % ❑ .25%
❑ .05% ❑ 23%
❑ 9% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
❑ YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
❑ YES ❑ NO DETAILS
"Certificate of Compliance"
Asper 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 _ 1) A
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑
Payment Terms Payment due at time of service.
Date
Applicator: (EvictA Bug Termite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com