HomeMy WebLinkAboutPRE-CONSTRUCTION TERMITE TREATMENT�aS
SCANNED "Cons
BY State L
St lmucie County 11192 47th Road
561-333-8777 / FAX
11 M"-4f,�, 14--4.
ng Your Environment'
a. Number 114708
Royal Palm Beach, FL 33411
3-8999 / Toll Free 866-414-PEST
Subdivision: _ ��� Lot: Block: Section:
Address
City & Zip
Owner
Name of Builder:
Shell Contractor:
Monolithic: )-1
Driveway:
Addition:
I
Builder 1 Contractor Information
i
Floating/Stemwall:
Other:
Treatment Date: (//v Time:
Treatment Type (must check one) Initial Un
Product Applied: Cypermethrin: P
Concentration: . vs % Mixed Product
Square Footage Treated: 6060 Linec
Patio: Entry:
atment Information /
O7 Technician:�J�
ier Slab: Supplemental: _
emise 75 -*L Other
%pplied: (--,a6 Gallons
r 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 TERMITE& TREATMENT IS IN ACCORDANCE WITH THE RULES AND
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OFAGRICULTURE AND CONSUMER SERVICES.
(Florida Building Code (FBC)18161.7) 11
Applicators Name (Please Print)