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Termite Pretreatment �® EVICT-A-Bug rp roll free: 1-811-385-9998
• Pest Control fak 772 349-5999
� Termite 8
Rodent Service. � Pest
• Email: Evictabug@gmail.com
Fire Ant Lawn Service -��. _ ��. Control, g@g
• Whitefly Treatment 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 1 FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL . I WHITEFLY TREATMENT
DATE OF SERVICE S i'r���•`l ;'.�' ; TIME
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME.
ME. CONTACT PERSON 7 - - -7 .
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STRUCTURE ADDRESS(LOT/BLOCK) 1 CITY,STATE COUNTY
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NOTES ZIP CODE
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TREATMENT TYPE/AREA
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
EI'CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS ❑SIDEWALKS
❑TAMP&TREAT ❑'TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS r
❑BASELINE ❑'DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT O-IMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% l7'5% ❑23% ❑9% ❑OTHER GALLONSAPPLIED '
SQUARE FOOTAGE LINEAR FOOTAGE /�"
SQUARE FOOTAGE VERIFIED
0 YES ❑NO 9 MEASURED OR VERIFIED PER PLANS
JOB.READY CONDITIONS MET
❑'YES ❑NO DETAILS
"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 ❑WATER HEATER ❑OTHER p'
Payment Terms: Payment due at time of service.
Date Applicator:(EvictA Bug Termite and Pest Control,Inc.) ` 7
Date Customer(Property Owner or Agent)
///1II141 Ul4llll�
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