HomeMy WebLinkAboutTermite Treatment HIGHL7 & D
PEST CONTROL
STATE LICENSE NUMBER 829
2771 Vista Parkway • Suite F10.• West Palm Beach, FL 33411
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PRE-CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT
ADDRESS LOT
CITY ;/
BUILDER SUB-CONTRACTOR l�4_�, %(Tf� 'f j Z 6
MODEL RESIDENTIAL - `'"`COMMERCIAL
OWNERS NAME
MAILING ADDRESS
IF DIFFERENT THAN ABOVE
HORIZONTAL AREA TREATED: HOUSE- 'FRONT ENTRY- PATIO- ADDITION
f"OTHER
DATE TREATED 'H1 ' / C TIME c J GY TECHNICIAN �'"� H --f
TERMITICIDE � �? H AT
SQUARE FEET TREATED :�/O GALLONS LINEAR FEET
TOTAL SQUARE FEET l
IF SOIL CHEMICAL BARRIER METHOD FOR TERMITE PREVENTION IS USED,FINAL EXTERIOR TREATMENT_
SHALL BE COMPLETED PRIOR TO FINAL BUILDING APPROVAL.(FLORIDA BUILDING CODE 104.2.6)
DATE VERTICAL TREATED TIME TECHINCIAN
LINEAR FEET GALLONS. TERMITICIDE @ %
ENTIRE VERTICAL PARTIAL VERTICAL DRIVEWAY SIDEWALK
TYPE OF TREATMENT: "f SOIL BARRIER WOOD TREATMENT BAITING SYSTEM
IF THIS BOX IS CHECKED,THEN FINAL PERIMETER TREATMENT HAS BEEN COMPLETED AND THE
FOLLOWING IS APPLICABLE:
CERTIFICATE OF COMPLIANCE:THLS BUILDING HAS RECEIVED A COMPLETED 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)
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APPLICATOR'S NAME (PLEASE PRINT)
Form#91-0 rev032519