HomeMy WebLinkAboutTermite Treatment (2) • Termite Inspection 5u.s t•q
Christ is l0 772-323-7921
• Termite Pretreatment 1e
• Pest Control EVICt A-Bug Tn11 free: 1-d11-315-9999
• Rodent Service Pest ite & fax:11Z-349-5999
• Fire Ant Lawn Service Control, Email: Evictabug@gmaii.com
• Whitefly Treatment Inc. 4293 SW High Meadow Ave.
• Licensed & Insured Lic.JB175775 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 TIME -� •r=� 0
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON
le
STRUCTURE ADDRESS(LOT/BLOCK) f CITY,STATE i COUNTY
NOTES. ZIP CODE
/4'4
TREATMENT TYPEIAREA
❑FLOATING ❑MONOLITHIC 0 PATIO ❑GARAGE 0 DRIVEWAY ❑STEM WALUFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUTOUTS ❑SIDEWALKS
❑TAMP&TREAT EI TREAT ONLY ❑FINAL ❑POOL DECK ❑OTHER
PRODUCTS
❑BASELINE 0_DOMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT --- QIMIDACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATE TETRAHYDRATE - —
CONCENTRATION
❑.06% ❑.1% ❑.12% ❑.25% 10.05% ❑23% ❑9% ❑OTHER GALLONSAPPLIED
SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
YES ❑NO Q.MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
0 YES El NO DETAILS
F-
"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 O OTHER <Ty
Payment Terms: Payment due at time of service.
• / J y�wuunuwon,
Date a I Applicator:(Evict A Bug Termite and Pest"Control,Inc.) `
Date Customer(Property Owner or Agent)
"n,n,muuuU�
www.evictabugpestcontrol.com