HomeMy WebLinkAboutASSELIN - TERMITE TREATMENT 1- Termite Inspection Jess Christ is �oIr 772-323-7921
Termite Pretreatment EVICT -A -Bug T811 free:1-811-385-9980
Pest Control � termite & faX:11Z-340-5990
• Rodent Service Pest
• Fire Ant Lawn Service :Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4293 SW High Meadow Ave.
- Licensed & Insured Lic. J6175775 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 L ?6 7 ' TIME
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON e
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE COUNTY
�6r4 Pl.eece ,�
NOTES e j. , ZIP CODE L
TREATMENT TYPE/AREA
❑ FLOATING
❑"MONOLITHIC
❑ PATIO
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL/FOOTERS ❑ ADDITION
❑ CUTOUTS
O FOOTER
❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
;TAMP & TREAT
❑ TREAT ONLY
❑ FINAL
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE
❑ DOMINION 2LACTIVE
INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE -INGREDIENT
- - ❑:IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .1%
❑ .12% ❑ .25%
U 5% ❑ 23%
❑ 9% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
OYES ❑ NO O;MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
OYES ❑ NO DETAILS
"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.)
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
71
Date
I I VZ ?/ 7WI
Date
❑ OTHER
Applicator: (EvictA Bug Termite and Pest Control, Inc.)
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com