HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITESL r
Termite Ins ection '12 323 7921
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�Termite'Pretreatm EVICt A-�U Toll Free: 1-877-365-9990
•Pest Control ® � 0
• Rodent Service 8(;AN 1 Pestife & Fax: 772-340-5990
Fire Ant Lawn Servicy Control, Email: Evictabug@gmail.com
Inc. 2373 SW Woodridge St.
Whitefly TreatrrtUCi@COUI1t1! I g
Licensed & Insured Llc. JB175775; Port St. Lucie, FL 34953
Notice of Preventativl Treatment for Termites
(as required by Florida Building Code (FBC) 1104.26 and Broward County Chapter FBC 105.2.2)
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PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVI E I RODENT EXCLUSION & REMOVAL I
DATE OF SERVICE C; �/' f� TIME 5
�NNAME )I y�CONTACT PERSON
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S
PlA L Tll 0L
'WHITEFLY TREATMENT
STRUCTURE ADDRESS (LOT/BLOCK)
CITY, STATE, ZIP CODE
COUNTY
NOTES `'
TREATMENT TYPE/AREA
❑ FLOATING V-\MONOLITHIC ❑ PATIO
❑ GARAGE
❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY
❑ RETREATI
❑ BORA CARE TREATMENT ❑ PLUMBING CUTOUTS ❑ SIDEWALKS
❑ TAMP & TREAT ,❑i REAT ONLY ❑ FINAL
❑ POOL DECK
❑ OTHER
(//
PRODUCTS,
°BASELINE ❑ DOMINION 2LACTIVE INGREDIENT
❑ TERMIDOR SC
❑ BORACARE ElPREMISE
❑ OTHER
''ACTIVE INGREDIENT
CONCENTRATION
0 06% ❑ .12% ❑ .25%
SQUARE FOOTAGE
SQUARE FOOTAGE VERIFIED
pl- YES ❑ NO
JOB READY CONDITIONS MET
COa ES ❑ NO-
IMIDACLAPRIp^0'BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .05% ❑ 23% ❑ 9% ❑ ITHER GALLONS APPLIED C C
LINEAR FOOTAGE
.. p MEASURED OR VERIFIED PE IRONS
DETAILS
As per 104.2.6 FBC - If soil chemical barrier method for termite prevention is used.
Certificate of Compliance: The building has received a complete treatment for the
by the Florida Department of Agriculture and Consumer Services. (Per the Florida E
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. l
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Date Applicator: (Evict A Bugje
Date
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exterior treatment shall be completed prior to final building approval.
ention of subterranean termites. Treatment is in accordance with rules and laws established
ig Code.)
and Pest Control, Inc.)
rt%%q OWrfer or Agent)