HomeMy WebLinkAboutNotice Of Preventative Treatment For TermitesChrist ific 4f` v
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Notice of Preventative Treatment for Tgrmites
(as required by Florida Building Code (FBC) 104.2.6, 105.10 & R318.1 and Broward County Chapter FBC 105.2.2)
PEST PREVENTIOL[N/ IL FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLU ION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE / TIME I1 ' 00 UyLC"1.
fi J.X 6 (— DGS t
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS (LOTIBLOCK) CITY, STATE COUNTY
,NOTES ,,� I
ZIP CODE
TREATMENT TYPE/AREA
❑ FLOATING )b MONOLITHIC
❑ PATIO
❑ GARAGE
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
tO TAMP & TREAT ❑ TREAT ONLY
❑ FINAL
❑ POOL DECK
❑ OTHER
PRODUCTS
❑ BASELINE ',O.DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
O IMIDACLAPRID O BIFENTHRIN ❑-DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .66% ❑ .1 % ❑ .12% ❑ .25%
;U-.05% ❑ 23%
❑ 9% ❑ OTHER
GALLONS APPLIED e�- 56 ;
SQUARE FOOTAGE
LINEAR FOOTAGE y
SQUARE FOOTAGE VERIFIED
Id YES ❑ NO t]-MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
4.
DYES ❑ NO DETAILS
"Certificate of Compliance"
As per 104.2.6,105A 0 & R316.1 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 ❑ OTHER�
Payment Terms: Payment due at time of service. .
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Date Applicator: (Ev ctAlBug Termite and Pest Control, Inc.) `
Date Customer (Property Owner or Agent) � �"4- ;;'��q�L° 7,0-
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