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• Licensed & Insured Lic.JB175775 Palm City, FL 34990
G, Notice of Preventative Treatment for Termites
I> (as required by Florida Building Code(FBC) 104.2.6, 105.10&R318.1 and.Broward County Chapter FBC 105.2.2)
E.
PEST.PREVENTION /I FIRE ANT SERVICE I `TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE L — / TIME (✓�I
DEVELOPMENT N XCT).. "t`` COTRACTQR'S NAME G CONTACT PERSON
STRUCTURE ADDRESS(LOTIBLOCK) ,(•� f CITY,STATE COUNTY,
NOTES"` - ' Jj j�j J ZIP CODE
TREATMENT TYPEIAREA
❑FLOATING `, MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
❑CUTOUTS ❑FdOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
F �
CQ TAMP&TREAT -dZEREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER REGENED
PRODUCTS
❑BASELINE ]'DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR O C T 0 4 2021
St.Lucie County
❑OTHER Permitting
ACTIVE INGREDIENT Ct7�1MN ACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION ��
❑.06% ❑.1% ❑.12% ❑.251/c �0105% ❑23% ❑9% ❑OTHER GALLONSAPPLIED
SQUARE FOOTAGE �`— ^, �m, LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
11\S ❑NO CD1MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
�O ❑NO DETAILS
i°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.
i
i Certificate of Compliance:The building has received a complete treatment for the prevention of subterranean termites.Treatment is in accordance with rules
t and laws established by the Florida Department of Agriculture and Consumer Services.(Per the Florida Building Code.)
i If this notice is for the final exterior treatment,.initial and date this line
FINAL STICKER
❑ELECTRICAL PANEL ❑WATER HEATER ❑OTHER'
l
• Payment Terms: Payment due at time of service. g k�
Date Applicator:(Evic A Bug Termite and Pest Control,Inc.)
��Z4 q1
Date Customer(Property Owner or Agent
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