HomeMy WebLinkAboutPRE-CONSTRUCTION SUBTERRANEAN TERMITE TREATMENTE 00444 Na HA"fO4441 f4,•c.
"Considering Your Environment"
State License Number 114708
at LUcIP, GoUnty 11192 47th Road North Royal Palm Beach, FL 33411
561-333-8777 / FAX 561-333-8999 / Toll Free 866-414-PEST
Pze- 50a"V�,� T" T4U
Subdivision:
Address
City & zip
Owner
Name of Builder:
Shell Contractor:
Property/ Information
Lot: Block: Section:
Builder / Contractor Information
Construction Type
Monolithic: Floating/Stemwall: Patio: Entry:
Driveway:
Addition: Other:�-)ex_4
Product / Treatment Information
Q,
Treatment Date:7/�Time: / 30 Technician:
Treatment Type (must check one) initial Under Slab: _� Supplemental:
Product Applied: Cypermethrin: Premise 75 Other 6;-�'�`.•
Concentration: % Mixed Product Applied; f � 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)181&1.7)
Applicators Name (Please Print) age `