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HomeMy WebLinkAboutPRE-CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT RECENED SEP282021 fit.Lucie County !permitting NEST CONTROL, INC. � 5n STATE LICENSE NUMBER 218496 804 SW 2nd Avenue, Okeechobee, FL 34974 PHONE TOLL FREE FAX (863)467-6707 1-888-221-7740 (561) 791-2337 PRE-CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT ADDRESS A,? 1� LOT CITY BUILDER SUB-CONTRACTOR MODEL V RESIDENTIAL. - COMMERCIAL OWNERS NAME (` {i i'�4 jr' �.1 ��`� ?lam' i, e•i f MAILING ADDRESS IF DIFFERENT THAN ABOVE HORIZONTAL AREA TREATED: HOUSE- FRONT ENTRY- PATIO- ADDITION OTHER �- �t � �4r� DATE TREATED -! e1 Dt _ Ti !r� >z' TECHNICIAN, 1 TEItMITdCIDE T ,��n t AT % SQUARE FEET TREATED '� <J GALLONS )'�� LINEAR FEET TOTAL SQUARE FEET IF SOIL CHEMICAL HARRIER METHOD FOR TERMITE PREVENTION IS USED,FINAL EXTERIOR TREATMENT SHALL BE COMPLETED PRIOR TO FINAL BUILDING APPROVAL.(FLORIDA BUILDING CODE 104.2.6) DATE VERTICAL TREATED TIME TECHINCIAN LINEAR FEET GALLONS TERMITICIDE @ ENTIRE VERTICAL PARTIAL VERTICAL DRIVEWAY SIDEWALK TYPE OF TREATMENT: SOIL BARRIER WOOD TREATMENT BAITING SYSTEM IF THIS BOX IS CHECKED,THEN FINAL PERIMETER TREATMENT HAS BEEN COMPLETED AND THE FOLLOWING IS APPLICABLE: CERTIFICATE OF COMPLIANCE:THIS BUILDING HAS RECEIVED A COMPLETED TREATMENT FOR THE PREVENTION OF SUBTERRANEAN TERMITES.TREATMENT IS IN ACCORDANCE WITH THE RULES AND LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES. (FLORIDA BUILDING CODE(FBC)1816.1.7) -APPLICATOR'S NAME (PLEASE PRINT) - Revised 10-17-14 FORVN 91-O (Okeechobee)