HomeMy WebLinkAboutPre-Construction Subterranean Termite TreatmentIr rvol/
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PEST CONTROL, INC.
STATE LICENSE NUMBER 218496�
3912 SE 18th Ter, Okeechobee, FL 34974
PHONE/FAX
(863)467-6707
PRE -CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT
ADDRESS -7 S, g `-'w, U t y G` a LOT
CITY i 0-f
BUILDER SUB -CONTRACTOR
MODEL ✓ RESIDENTIAL - COMMERCIAL
OWNERS NAME
MAILING ADDRESS
IF DIFFERENT THAN ABOVE
HORIZONTAL AREA TREATED: V HOUSE - FRONT ENTRY- PATIO - ADDITION
OTHER l
DATE TREATED III, I TIME 10: 3 J TECHNICIAN
TERMITICIDE ( 1 i P-2 r �C' = AT �.�J %
_ I
SQUARE FEET TREATED �J �� GALLONS 150 LINEAR FEET
TOTAL SQUARE FEET J
IF SOIL CHEMICAL BARRIER 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
J 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
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES.
(FLORIDA BUILDING CODE (FDC)1816.1.7)
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APPLICATOR'S NAME (PLEASE PRINT)
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Revised Revised 1126/16 FORM# 91-0 (Okceekobee)
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sTAT]E LICENSLrNUMBER 8?9
2771. U s#a,rF,pr-kway • S..u�ta:F'1O , 1Riast B.each,.�L 334'1-� FAX
pRONE I TOLL I� REi
(561) 793 -1-9.8
1-888 2Z1:'174U (561) �91'-2337
TREATMENT
ADIiRESS � .co IL;r lJ k'y6o LOT
CITE-
` SUB-COIdTRACTOR Vy
BUII:DER:; - . .• -
RESIDENTUL - COMMERCIAL
MUDEL, i
MAILING ADDRESS, � Txn�:AEOVE '.. -" .
• . � ff.DIFFEitENf: ,
HORI?.UI�ITAL AREA -TREATED. HOUSE FRONT L?NTRY- .
PATIO - AWDITION ,
..
DATE TREATED
. TLN1E TECIiNICLAPl
ICIDE, I
TERMIT
' GALLONS,
QUARE BEET TREATED --
I;i1QEAR FEET
:TOTAISQUAREFEET
IF�SOIL CHEMICAL BARRIER MET Fi1VAL iLDTNG AP OYEAL �(FLO,RIDA BITILDiNG OD 1'4d.2 6} ATMENT
'DATE VERTICAL TREATED
~5 'TI1VLt TECHI!!�CLA -
i I.. TERNAITICII}E 1.
;g1Epl FEETGALLONS._ r
% j YERTICAI, DRIVEWAY: :SIDEWALK"
ENTIRE VERTIC_ AL . PARTIAL
TYPE OF TREATMENT -
OLL BARRIER WOOD TREATMENT ;BAITING SYSTEM ' i
IFS l HIS BOX IS CHEGi{Eii,'1'HEI� FINAL PERiMETERxTREATMENT HAS BEEI�F {COMPIsETED AND:THE
F@LLOWIIVG LS APPLICABLE
CERTi+'ICA'FE 0►F COMI'LXANGE THIS BUIi.DING;TiAS RECEIVED A COMPLETED TREATlNfENT FORS
THE PREVENTION:QF: Y FLORIDA DE, PTEIViENT i?F AGIUCULTUatECAND 4NSUMlER SE12ICF.SE$ AND
L?,Oq+S'ESTABILlSHED B ,. - ,
(FLOR1DX BUILDING CODE C)181617)
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;pLIC�TOR'S NAME• (Pi EASE.YRINTI ne,istna v-te Fo,esi091o