HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITES• Termite Inspection e505 Christ ;S for . �72-323-7921
• Termite Pretreatment �� fVICt-A40 a 1911 free:1-811385-9990
• Pest Control Termite &feX:11Z-340-5990.
• Rodent Service Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• Whitefly Treatment Inc. 4N3 SW High Meadows Ave.
• Licensed & Insured Lic. JB175775 Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FI`R,E ANT SERVICE I / TERMITE SERVICE I ODELU NT CSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE /60)Ar i n TIME /D • ® 0 ����
BY®� ��
D VELOPMENT �NAME (PRO—JECT) CONTRAOCTO%'S NAME �'IF' G��IWONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) ! CITY, S ATE 7�U
TY
)NOTES ZIP CODE
9,"(�
TREATMENT TYPEIAREA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALLIFOOTERS ❑ ADDITION
❑ CUTOUTS
❑ FOOTER
❑ FRONT ENTRY
❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT
Y TREAT ONLY
'VEINAL
❑ POOL DECK . ❑ OTHER
PRODUCTS
❑ BASELINE
DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
❑ OTHER
ACTIVE INGREDIENT
C IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
❑ .06% ❑ .1 %
❑ .12% ❑ .25%
'W.05% ❑ 23%
❑ 9% ❑ OTHER GALLONS APPLIED
�0
SQUARE FOOTAGE
LINEAR FOOTAGE.
SQUARE FOOTAGE VERIFIED
YES ❑ NO VIME� R VERIFIED PER PLANS
JAB READY CONDITIONS MET
YES ❑ NO 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 Se es. (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.
Date . Applicator: Bug Termite and Pest Control, Inc.)
ll 01�/f
Date Customer (Pfoperty Owner or Agent)
7 k
www.evictabugpestcontrol.com F: