HomeMy WebLinkAboutSUBTERRANEAN TERMITE TREATMENT SCANNE-6. 1
BY
St Lucie Couhty
-- - - - "Considering.YoCr Environment' .
I State.License Number 114708
11192.47th Road North Royal Palm Beach, FL 33411
561-333-8777/FAX 561-333-89991 Toll Free 866-414-PEST
Property Information.
Subdivision:PA IV\ Lot: Block:' Section:
Address 0 -:2 2Y IV. flt./ 1A —
.
City&Zip
Owner
Builder/Contractor Information
Name of Builder !✓ ^�
Shell Contractor: a
ns ruction Type .
Monolithic: _ Floating/Stemwall: Patio: Entry:
Driveway:
Addifiow Other:
Product I Treatment Information
Treatment Date: D Time: d Technician:
Treatment Type(m t check ne) Initial Under Slab:_ Supplemental:
Prod uctApplied` Cypermethrin: Premise 75 Other
Concentration: G' Mixed Product Applied: Gallons
Square Footage Treated: b]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 1S 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)