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HomeMy WebLinkAboutNotice of preventative Treatment for TermitesTermite Inspection
© Termite Pretreatment
o Pest Control
e Rodent Service
e Fire Ant Lawn Service
Whitefly Treatment
Licensed & Insured
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.26 and Broward County Chapter FBC 105.2.2)
e5U5 Cillillillillilllllllllhrist is �o� 772-323-7921
Evict A -Bug p Toll Free: 1-877-365-9990
Termite & Fax: 772-340-5990
Pest Email: Evictabug@gmaii.com
Control,
Inc. 2373 SW Woodridge St.
Lic. JB175775 Port St. Lucie, FL 34953
PEST PREVENT ON I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE i ' C'i - ) TIME l .3O
D VELOPMENT NAME (PROJECT) CA
TRACTOR'S NAME CONTACT PERSON
�� Son S�ati c k Cs ?O0 i S -
STRUCTURE ADDRESS (LOT/BLOCK) ' 7 ql)Y, STATE, ZIP CODE COUNTY
5- ucvl 1v�, P►�!Cc;-�
NOTES
TREATMENT TYPE/AREA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE
❑ DRIVEWAY
❑ STEM WALL/FOOTERS
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS
❑ TAMP & TREAT
',TREAT ONLY
❑ FINAL
d POOL DECK
❑ OTHER
❑ ADDITION
PRODUCTS
'toASELINE
❑ DOMINION 2LACTIVE INGREDIENT
MBIFENTHRIN
❑ TERMIDOR SC
❑ BORACARE
❑ OTHER
❑ DISODIUM OCTABORATE TETRAHYDRATE
ACTIVE INGREDIENT
CONCENTRATION
'
�
.06% ❑ .12% ❑ ,25%
❑ .05% ❑ 23%
❑ 9% ❑OTHER
GALLONS APPLIED
SQUARE FOOTAGE
3 G5 C J
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
AYES ❑ NO
JOB READY CONDITIONS MET
��YES ❑ NO
14 MEASURED OR VERIFIED PER PLANS
DETAILS
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.
16- ZCj- Iq
Date
Date
❑ OTHER
Applicator: (Evict A Bug Termite and Pest Control, Inc.)
Customer (Property Owner or Agent)