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NOTICE OF PREVENTATIVE TREATMENT FOR TERMITE
• Termite Inspection 5U5 Christ is I772-323-7921 • Termite Pretreatment ffict A -Huff r� i911 PRO 1-911-385-9999 • Pest Control Termite & • Rodent Service Pest f9x:11� 349-5999 • Fire Ant Lawn Service Control, Email: Evictabug@gmaii.com • Whitefly Treatment Inc. 4293 SW High Meadow Ave. • Licensed & Insured Lic. J6�75775 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 I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT DATE OF SERVICE it j ( TIME f DEVELOPENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON STR�UCCTUR/E7 ADDREqSS/ (L gOTIIBLOCl,K) gg�, (CIITY,, STATE {_ � / r / COUNTY ( it l;; ii -0,,wf t v j/ iEo NOTES A `� # ZIP CODE q1 TREATMENT TYPEfAREA ❑ FLOATING ❑ MONOLITHIC ❑ PATIO 6,CUTOUTS C] FOOTER ❑ FRONT ENTRY ❑ TAMP & TREAT 1 E 1 EAT ONLY ❑ FINAL PRODUCTS ❑ BASELINE d-1bMINION 2LACTIVE INGREDIENT ❑ OTHER ACTIVE INGREDIENT ❑ GARAGE ❑ DRIVEWAY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ POOL DECK ❑ OTHER ❑ STEM WALLIFOOTERS ❑ ADDITION ❑ PLUMBING CUT OUTS ❑ SIDEWALKS ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALS€AR ©f1MIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE CONCENTRATION ❑ .06% ❑ .1% ❑ .12% ❑ .25% 60 %"� C] 23% ❑ 9% ❑ OTHER SQUARE FOOTAGELINEAR FOOTAGE SQUARE FOOTAGE VERIFIED EJ YES ❑ NO JOB READY CONDITIONS MET 04S ❑ NO 61 EASURED OR VERIFIED PER PLANS DETAILS GALLONSAPPLIED "Certificate of Compliance" As per 104.2.6, 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.) Q� If this notice is for the final exterior treatment initial and date this line 1t FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER Payment Terms: Payment due at time of service. Date e gii j ' p,•7 P _ £ : f i Applicator: (Evict A Bug Termite and Pest Control, Inc.) / f -( - 1 I� I -1 C) Date Customer (Property Owner or Agent) www.evictabugpestcontrol.com