HomeMy WebLinkAboutNotice of Preventative Treatment for Termites• Termite Ins ectior� l y Lhht`;�
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• Termite Pretreatment fVICt - -Bug Tall free: 1-811-315-9990
• Pest Control `Termite & faX:11Y-340-5990
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• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadow Ave.
• Licensed &Insured Lic. J6175775 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 1% `� aI TIME _7Q_kGe Sy!
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS (LOTIBLOCK) COUNTY
CITY, STATE
NOTES `ZIP CODE
eft SLC ^ I��i pa�c, fet^A�-f5fiito 2� W7
TREATMENT TAPE/AREA �D
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS
I7 FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT
)t"TREAT ONLY
❑ FINAL
❑ POOL D�CK
.TRRE"ATMENT
❑ OTHER e� P fit �r oil
PRODUCTS
❑ BASELINE ,,DOMINION 2LACTIVE INGREDIENT
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ TERMIDOR SC ` ❑ BORACARE ❑ PREMISE ❑ TALSTAR
XIMIDACLAPRID ❑ BIFENTHRIN
❑ .06% ❑ .1% ❑ .12% ❑ .25% "�i11 .05%)%p� El23% ❑ 9% ❑ OTHER
SQUARE FOOTAGE ` �iiV LINEAR FOOTAGE
e -
SQUARE FOOTAGE VERIFIED
OYES ❑ NO
JOB READY CONDITIONS MET
P
'11 ES Ell NO
• /MEASURED OR VERIFIED PER PLANS
DETAILS
❑ DISODIUM OCTABORATE TETRAHYDRATE
GALLONS APPLIED M
"Certificate of Compliance"
As per l04.2.6;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
FINAL STICKER
❑ ELECTRICAL PANEL Q WATER HEATER Y�l1`OTHER 9J I
Payment Terms: Payment due at time of service.
Date
Date
Applicator: (VictA Bug Termite and Pest Contfol, Inc.)
Customer (Property Owner or Agent)
www.evietabugpestcontrol.com