HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITES• Termite Inspection Jesus Christ is lorq ?2=323-7921
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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 PREVENTIO I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE ' 2 TIME
DEVELOP ENT NAME, PSPROJECT) CONTRACTOR'S NAME CONTACT PERSON
C J. 1oo2I�lSi'rvi��
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE COUNTY
61 G
NOTES ° I ZIP CODE
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TREATMENT+TYPEIARE_A
❑ FLOATING I"MONOLITHIC ❑ PATIO
❑ GARAGE
❑ DRIVEWAY ❑ STEM WALUFOOTERS
,@-ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS
❑ SIDEWALKS
.s
❑ TAMP & TREAT `®TREAT ONLY ❑ FINAL
❑ POOL DECK
❑ OTHER
PRODUCTS
❑ BASELINE 7 -POMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
yx IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
C
CONCENTRATION
f�
❑ .06% ❑ .12% ❑ .259/c �1105% El
❑ 9% ❑ OTHER
GALLONS APPLIED /
SQUARE FOOTAGE D(} J /
LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
.19 YES ❑ NO
JOB READY CONDITIONS MET
YES ❑ NO
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"EASURED 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
❑ ELECTRICAL PANEL ❑ WATER HEATER ❑ OTHER
Payment Terms: Payment due at time of service.
1
Date Applicator: (Evict A Bug Termite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
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