HomeMy WebLinkAboutTermite Pretreat - Permti 2109-0341A N
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PEST CONTROL, INC.
STATE LICENSE NUMBER 218496
804 SW 2nd Avenue, Okeechobee, FL 34974
PHONE TOLL FREE FAX
(863) 467-6707 1-888-221-7740 (561) 791-2337
PRE -CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT
ADDRESS 1�t LOT
3�40,Y)
CITY I
BUILDER �� 1M� \ _ _ SUB -CONTRACTOR
MODEL V RESIDENTIAL - COMMERCIAL
OWNERS NAME
MAILING ADDRESS
EF D>FFEREVT TAAN ABOVE
HORIZONTAL AREA /T�R,EAATED: HOUSE - FRONT ENTRY- PATIO - ADDITION
`
1`OTHER Of✓LI_ r -
DATE TREATED
TERMITICIDE
SQUARE FEET TREATED
TOTAL SQUARE FEET
I
3
AT n K %
LINEAR FEET
IF SOIL CHEMICAL HARRIER METHOD FOR TERMITE PREVENTION IS USED, FINAL EXTERIOR TREATMENT
SHALL BE COMPLETED PRIOR TO FINAL BUILDING APPROVAL. (FLORIDA BUILDING CODE 104.2.6)
DATE VERTICAL TREATED
LINEAR FEET
ENTIRE VERTICAL
TYPE OF TREATMENT:
GALLONS TERMITICIDE
PARTIAL VERTICAL
SOIL BARRIER
TECHINCIAN
DRIVEWAY
WOOD TREATMENT
SIDEWALK
BAITING SYSTEM
IF THIS BOX IS CHECKED, THEN FINAL PERIMETER TREATMENT HAS BEEN COMPLETED AND THE
FOLLOWING IS APPLICABLE:
CERTIFICATE OF COMPLIANCE: THIS BUILDING HAS RECEIVED A COMPLETED TREATMENT FOR
THE PREVENTION OF SUBTERRANEAN TERMITES. TREATMENT IS IN ACCORDANCE WITH THE RULES AND
SAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES.
(FLORIDA BUILDING CODE (FBC) 1816.1.7)
APPLICATORS NAME (PLEASE PRINT)
Reciscd 10-17-1.4 FU8]19 91-0 ((lkcechnhec)