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Lic. JB 27453
772-307-3442
Email: thebugassassinsllc@gmail.com
1913 SW Castinet Lane
Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE G�I `'� TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I VVHITEFLY TREATMENT
DATE OF SERVICE `� TIME i ' vb
DEVELOP ENT NAME (PROJECT) C TRACTOR'S NAME CONTACT PERSO
STRUCTURE ADDRE S (LOT/BLOCK) CITY, STATE OUNTY
E W O 0ut
N07ES ZIP CODE
v'mv k %mv
TRFATMFNT TYPFIARFA
❑ FLOATING
CUTOUTS
TAMP & TREAT
PRODUCTS
❑ BASELINE
❑ OTHER
iMONOLITHIC ❑ PATIO ❑ GARAGE
❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT
❑ TREAT ONLY ❑ FINAL ❑ POOL DECK
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ OTHER
DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
ACTIVE INGREDIENT _ iMIDACLAPRID ElBIFENTHRIN
CONCENTRATION
❑ .06% 1% ❑ .12% ❑ .25% ❑ .05% ❑ 23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE YQ LS LINEAR FOOTAGE _
SQUARE FOOTAGE VERIFIED
`t�YES ❑ NO
J B READY CONDITIONS MET
YES ❑ NO
MEASURED OR VERIFIED PER PLANS
DETAILS
❑ DISODIUM OCTABORATE TETRAHYDRATE
GALLONSAPPLIED M
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 vAth 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 ❑ WATER HEATER ❑ OTHER
moment Terms: Payment due at time of service.
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Date
Date
Applicator: The Bug Assassins, LLC
or Agent)
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