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L' A 0 1 d
Oje,
Christ is �ortl
Termite
& Pest
Control
Inc. ,o
70,2-323-7921
FBI:11Y-349-5999
Email: Evictabug@gmaii.com
2373 SW Woodridge St.
O icense nsure Lic JB175775 • Port St. Lucie FL. 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC)104.26 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL
DATEOFSERVICE d b—f TIME i0:3
y DEVELOPMENT NAME(PROJECTT) 4 + CONTRACTOR'S NAME CONTACT PERSON
F�tt"rt11'I �� fit\f `� �I➢ ri t H V F) Y �` ° �/ � � � / 0 1 � (A
STRUCTURE ADDRESS (LOT/BLOCK,; a CITY, STATE, ZIP CODE COUNTY
``NOTES'�—)L
TREATMENT TYPE/AREA
❑ FLOATING
❑ MONOLITHIC
❑ CUTOUTS
❑ FOOTER
❑ TAMP & TREAT
; TREAT ONLY
PRODUCTS
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS
'UrFINAL ❑ POOL DECK ❑ OTHER
dI -BASELINE ❑ DOMINION 2LACTIVE INGREDIENT
❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
v06% ❑ .12% El.25%
SQUARE FOOTAGE
SQUARE FOOTAGE VERIFIED
EYES ❑'NO
JOB READY CONDITIONS MET
of YES ❑ NO
80 BIFENTHRIN ❑ TERMIDOR TC ❑ BORACARE
❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED 4 6P
LINEAR FOOTAGE ;-�:7 C3
OMEASURED OR VERIFIED PER PLANS
DETAILS
As per 104.2.6 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 I� a16-1 —i
FINAL STICKER
t�'ILECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
Date
Date
Applicator: (Evict A Bug Termite and Pest Control, Inc.)
Customer (Property Owner or Agent)