HomeMy WebLinkAboutPRE-CONSTRUCTION SUBTERRANEAN TERMITEEverglades Pest Management, Inc.
"Considering Your Environment"
State License Number 114708
11192 47th Road North Royal Palm Beach, FL 33411
561-333-8777 / FAX 561-333-8999 / Toll Free 866-414-PEST
Pre -Construction Subterranean Termite
Subdivision: 9W 1�6
Address
City & Zip
Owner
Name of Builder: (�
Shell Contractor:
Treatment
Property Information
I,Q� Lot: Block: Section:
CAS( /v) V(—%Ie �r�
Builder 1 Contractor Information
Construction Type
Monolithic: Floating/Stemwall: Patio: Entry: Driveway:
Addition: Other: Y '-/
Product / Treatment Information
Treatment Date: Time: ' Technician:
Treatment Type (must c eck one) Initial Under Slab: /' Supple ntal:
Product Applied: Cypermethrin: Premise 75 Other L2I ^
Concentration: O % Mixed Product Applied: Gallons
Square Footage Treated: i'n 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 OFAGRICULTURE AND CONSUMER SERVICES.
(Florida Building Code (FBC)1816.1.7)
Applicators Name (Please Print) 2bec
1 a- 0 67 �1