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StISL 772 323 7921
icf A -Bug
,Toll No.1-817 385-9999
Termite & FBI:11Y-340-5999
Pest
ControlEmail: Evictabug@gmail.com
Inc. 4293 SW High Meadow Ave.
Licensed.& Insured Lic. JB175775 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 TERMI,ESERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY:TREATMENT-'
DATE OF SERVICE �� i TIME
DF,VE;LOPNAME (PROJECT)
C0 TS
NAME
I vv �1
CONTACT SON
U STR\CTURE ADDRESS (LOT/BLOCK) _
I CITY, STATE
1 COUNTY
NOTES
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❑ FLOATING GZ-MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLIFOOTERS ❑ ADDITION
❑' UTOUTS ❑ FOOTER O FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT Q. PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT C)IZREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER
t
PRODUCTS _
❑ BASELINE �•� DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC d BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT f = - BrIMIDACLAPRI'D d BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE - -
CONCENTRATION /
❑ .06% ❑ .1% ❑ .12% ❑ .25% / l�% El23% ❑ 9% ❑OTHER GALLONS APPLIED !!
SQUARE FOOTAGE � � LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
OT ❑ NO ,q,/ME-AS.URED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
ES ❑ NO DETAILS
"Certificate of Compliance"
As per 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
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
;Date f) p(icator: (EvictA Bug Dqm a and Pest Control,
Date
or Agent)
www.evictabugpestcontrol.com