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t is Hof
772-323-7921
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Tull free:l-871365-9990
Termite &
1U. 772-340-5990
Pest
Control,
Email: Evictabug@gmail.com
Inc.
4293 SW High Meadow Ave.
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 3- � �' iJ t TIME '� L I
DEVELOPMENT NAME (PROJECT) CO TRACTOR'S NAME r CONl Cl PtttSON
STRUCTURE ADDRESS (LOT/BLOCK) I + CITY, STATE �-. COUNTY
e i It� S� Derr
ZIP CODE
NOTj�
TREATMENT TYPEIAREA
//
❑ FLOATING ❑ MONOLITHIC
U PATIO
❑ GARAGE EWAY
❑STEM WALLff00TERS ❑ADDITION
• CUTOUTS ❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT.GUTS'' ❑ SIDEWALKS
❑ TAMP & TREAT b-I REAT ONLY
❑ FINAL
❑ POOL DECK ❑ OTHER
PRODUCTS
❑ BASELINE EYDOMINION 2L ACTIVE
INGREDIENT
❑ TERMIDOR SC O,BORACARE ❑ PREMISE
❑ TALSTAR _-
❑ OTHER
ACTIVE INGREDIENT
LOMIDACLAPRID O BIFENTHRIN
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION �`,((!
❑ .06% ❑ .1 % ❑ .12% ❑ .25% 0.OS% O 23% ❑ 9% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE - LINEAR FOOTAGE 70
SQUARE FOOTAGE VERIFIED
DES ❑ NO
JO//BiREADY CONDITIONS MET
EJ YES ❑ NO
PER PLANS ,>
As per l04.2.6,105.10 & R318.1 FBc - If soil chemical barrier meth
Final exterior treatment shall be completed prior to final building a
Certificate of Compliance: The building has received a complete treats
and laws established by the Florida Department of Agriculture and Co
If this notice is for the final exterior treatment. initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
PaymentTerms: Payment due at time of service:'
l ire`
to of Compliance"
for termite prevention is used.
the prevention of subterranean termites. Treatment is in accordance wit
Services. (Per the Florida Building Code.) (�
❑OTHER
Date Applicator: (EvictA Bug Termite and Pest 5ontrol, Inc.)
Date Customer (Property Owner orAgent)
Abe
rules
..
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www.evictabugp.estcontrol.com