HomeMy WebLinkAboutPre-ConstructionTermite TreatmentP"I M , tom.
"Considering Your Environments
-� State License Number 114708
y C� 11192 47th Road North ' Royal Palm Beach, FL 33411
561-333-8777 / FAX 561-333-8.999 / Toll Free 866-414-PEST
Prooertv Information
Subdivision:14'- tV
Lot: Block: Section:
Address /'
City& Zip
Owner
Builder I Contractor Information
Name of Builder:
Shell Contractor:
Construction Type
Monolithic: Floating/Stemwall: .Patio: Entry:
Driveway:
Addition: _ Other:
Product / Treatment Information
Treatment Date: I O Time:a Technician:
Treatment Type (mu check ne) Initial Under Slab: Supplemental:
Product Applied: Cy methrin:._ _ __ _ Premise 75Other.
Concentration: �0 % Mix*qq Product Applied: 1�0 Gallons
Square Footage Treated: Linear Feet Treated:
If this is checked, then final perimeter treatment has been completed and the
following statement is applicable:
Certificate of Compliance: THIS BUILDING HAS RECEIVED A COMPLETE TREATMENT FOR THE
PREVENTION OF SUBTERRANEAN TERMITES. TREATMENT IS IN ACCORDANCE WITH THE RULES AND
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OFAGRICULTUREAND CONSUMER SERVICES.
(Florida Building Code (FBC)1816.1.7)
Applicators Name (Please Print) 10