HomeMy WebLinkAboutNotice Preventive Treatment For TermitesChrist is • Termite Inspection �(,1 e50s t,oIr 727323-7921
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• Whitefly Treatment Inc. 2373 SW Woodridge St.
• Licensed & Insured 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 I WHITEFLY TREATMENT
G
DATE OF SERVICE I TIME
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CON ACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE / COUNTY
J 0 Sir iN� 1 ,11 L� �'��� � �� �i/Oo-i
\
NOTE$ I / - 0 35 A "NA ! ZIe CO�� �� J
TREATMENT TYPE/AREA j Al r M 1
❑ FLOATING 2rMONOLITHIC El PATIO ❑ GARAGE /,O\pRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑3 PLUMBING CUTOUTS 421�SSIDEWALKS
❑ TAMP & TREAT CRPEAT ONLY /❑t�INAL ❑ POOL DECK ,OTHER eC 0 /�M1 -- f - �J
PRODUCTS V
O BASELINE Cd"Dt`NION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER ��ss
ACTIVE INGREDIENT CE(IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .12% ❑ .25% Gt]I05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED (,_0 0
SQUARE FOOTAGE 36)71 LINEAR FOOTAGE 2;^S
SQUARE FOOTAGE VERIFIED
PFYES-- ❑ NO
JOB READY CONDITIONS MET
r0 YES ❑ NO
L AEASURED 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
FINAL STICKER t
�IJ.ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service. f
r)
Date
(Evict A Bgg�te and Pest Control, Inc.)
Date _ Customer.(Prop "arty Owner or Agent)
www.evictabugpestcontrol:com ,,