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HomeMy WebLinkAboutNOTICE 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