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• Termite Inspection �e5U5 Christ Is Lora 772-323-7921
• Termite Pretreatment E Vic t-A-bug, loll free:"1-811-385-9999
• Pest Control Termite & fat 7 -349.5999
• Rodent Service �� Pest "
- - Fire.Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc.' 4293 SW High Meadow Ave.
• Licensed & Insured Lic.J6175"5 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 ^^�qFIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION&REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE ` ��r 04o TIME I
s
DEVELOPMENT NAME(PROJECT) ( CONTRACTOR'S NAME
,� ! � CONTACT PERSON
1 11 /�1X�'�Y�" u'rv ( l(J�t!C t /�'1.(
STRUCTURE ADDRESS(LOTIBLOCK)`�` ` j CITY,STATE COUNTY
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NOTES L? ZIP CODE
TREATMENT TYPE/AREA
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALLIFOOTERS ❑ADDITION
❑CUTOUTS ❑FOOTER ❑FRONT ENTRY ❑RETREAT ❑BORA CARE TREATMENT ❑PLUMBING CUT OUTS ❑SIDEWALKS
O❑TAMP&TREAT � TREAT ONLY OM FINAL ❑POOL DECK IYOTHER • 'OJ
w
PRODUCTS
❑BASELINE 19,0111IMINION 2LACTIVE INGREDIENT ❑TERMIDOR SC ❑BORACARE ❑PREMISE ❑TALSTAR
❑OTHER
ACTIVE INGREDIENT ,0 IMI,DACLAPRID ❑BIFENTHRIN ❑DISODIUM OCTABORATETETRAHYDRATE
CONCENTRATION
O,06% ❑.1% ❑.12% ❑.25% JE65%o ❑23% ❑9% ❑OTHER GALLONS APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE '�y
SQUARE FOOTAGE VERIFIED
@,YES ❑NO U`MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
�l7 YES ❑NO DETAILS
"Certificate of Compliance"
As per l04.2.6,105.10&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 Cons/uurperr S-e�rvices.(Per the Florida Building Code.)
If this notice is for the final exterior treatment,initial and date this line
FINAL STICKER t ,
�fO ELECTRICAL PANEL ❑WATER HEATER ❑OTHER ,a /
Payment Terms: Payment due at time of service. if
Date Apt licator:(Evict A Bug Termite anpesf Con rt ol,Inc.)
Date
Customer(Fropert�Owne�rAgent)
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