HomeMy WebLinkAboutPRE-CONSTREUCTION SUBTERRANEAN TERMITE TREATMENTSCANNED EVZ4g&OW Af-14 H4/%141�I f4*4. RECEIVED
(BY "Considering Your Environment'
st Lucie County State License Number 114708 APR 0 201R
11192 47th Road North Roy al Palmeac Bh, FL 33411 Permitting Departmew 561-333-8777 / FAX 561-333-8999 / Toll Free 866-414-PEST St. LuciQ Coun*v
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Subdivision: AG
Address
City & Zip
Owner
Name of Builder:
Shell Contractor:
Property Information
Lot: Block: Section:
Builder / Contractor Information
Construction Type
Monolithic: 1<0_ Floating/Stemwall: Patio: Entry:
Driveway:
Addition: Other:
Product I Treatment Information
Treatment Date: Lt 3 9 Time: %% 0 C., Technician:
Treatment Type (r4st the one) Initial Under Slab: _Supplemental:
Product Applied: Cypermethrin: Premise 75 Oth
er
ther
Concentration: % Mixed Product Applied: ;N !1,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 OF AGRICULTURE AND CONSUMER SERVICE=,,.
'(Florida Building Code (FBC)1818.1.7)
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Applicators Name (Please Print) 141&—Ivvti—
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