HomeMy WebLinkAboutNotice of Preventative Treatment for Termites• Termite Inspection e5u5 Christ is 772-323-7921
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• Whitefly Treatment. Inc. 2373 SW Woodridge St.
• Licensed & Insured �'� �s�75"5 Port St. Lucie, FL 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC)104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I • FIRE ANT SERVICE I. TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
A
DATE OF SERVICE / J o-TIME
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CQNTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE ZIP CODE . COUNTY "
n
NOTES+r
Ir-MTNMIT TV0C/ADCA .% , •
❑ FLOATING ❑ MONOLITHIC
❑ PATIO
❑ GARAGE
❑ DRIVEWAY
❑ STEM WALUFOOTERS
ti CUTOUTS ❑ FOOTER
❑ FRONT ENTRY .
❑ RETREAT
❑ BORA CARE TREATMENT PLUMBING CUT OUTS
❑ TAMP & TREAT Z TREAT ONLY
❑ FINAL
❑ POOL DECK
❑ OTHER
❑ ADDITION
PRODUCTS
.21 BASELINE ❑ DOMINION 2LACTIVE INGREDIENT
ZTBIFENTHRIN
❑ TERMIDOR SC
❑ BORACARE
n OTHER
+ TIVE INGREDIENT
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
d-.06% ❑ .12% ❑ .25%
❑ .05% ❑ 23%
❑ 9% ❑ OTHER
GALLONS APPLIED '
SQUARE FOOTAGE �`ty� J
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
DYES !] NO
C] MEASURED OR
VERIFIED PER PLANS
JOB READY CONDITIONS METn
+
NOV 2 6 REC D
I
'®;YES ❑ NO
DETAILS
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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 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
❑ OTHER
Applicator: (EvictA Bug Termite and Pest Control, Inc.)
Ut-
Date Customer (Property Owner orAgent)