HomeMy WebLinkAboutPRE-CONSTRUCTION TERMITE TREATMENT13
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BY
stLuciecount�► PEST CONTROL
STATE LICENSE NUMBER 218496
804 SW 2nd Avenue, Okeechobee, FL 34974
PHONE/FAX
(863) 467-6707
PRE -CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT
ADDRESS u) t� l I ;� t� �(' �{ �� V LOT
CITY�4'tj
BUILDER 6f 1i('SJ 4)A(� h it's �Il4' t of
MODEL
OWNERS NAME
1
MAILING ADDRESS
IF DIME
HORIZONTAL AREA TREATED: i HOUSE -
OTHER
DATE TREATED TIME
TERMITICIDE
SUB -CONTRACTOR
ABOVE
SQUARE FEET TREATED GALLONS
TOTAL SQUARE FEET
RESIDENTIAL -
COMMERCIAL
FRONT ENTRY- PATIO -
TECHNICIAN
AT
LINEAR FEET
ADDITION
IF SOIL CHEMICAL BARRIER METHOD FOR TERMITE PREVENTION IS USED, FINAL EXTERIOR TREATMENT
SHALL BE COMPLETED PRIOR TO FINAL BUILDING APPROVAL. (FLORIDA BUILDING CODE 104.2.6)
DATE VERTICAL TREATED l �/ 1 (�/ TIME 7 () IA M TECHNNCIAN 6 ul t
1 LINEAR FEET <<'J GALLONS C TERMITICIDE ('� _C
ftY � @ � � %
1
ENTIRE VERTICAL PARTIAL VERTICAL DRIVEWAY SIDEWALK
TYPE OF TREATMENT: SOIL BARRIER WOOD TREATMENT BAITING SYSTEM
IF THIS BOX IS CHECKED, THEN FINAL PERIMETER TREATMENT HAS BEEN COMPLETED AND THE
FOLLOWING IS APPLICABLE:
CERTIFICATE OF COMPLIANCE: THIS BUILDING HAS RECEIVED A COMPLETED 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 SERVICES.
(FLORIDA BUILDING CODE (FBC) 1816.1.7)
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APPLICATOR'S NAME (PLEASE PRINT)
Revised 1014/17 FORA1# 91-0 (Okeechobee)
CITY
� R
HIG"HLAND
PESTCONTROL
STATE LICENSE NUMBER 218496
804 SW 2nd Avenue, Okeechobee, FL 34974
PHONE/FAX
(863) 467-6707
PRE -CONSTRUCTION SUB]
ESs
6,
BUILDER
TERMITE TREATMENT
SUB -CONTRACTOR
MODEL I RESIDENTIAL - COMMERCIAL
I
OWNERS NAME
MAILING ADDRESS
LOT
fdt�i7L. l 1,11A
IF DIFFERENT THAN ABOVE
HORIZONTAL AREA TREATED: HOUSE - FRONT ENTRY- PATIO - ADDITION
d�'" OTHER
DATE TREATED 1 (7l% I TIME TECHNICIAN
TERMITICIDE ('1 v AT
�* C
SQUARE FEET TREATED P U GALLONS I G LINEAR FEET _
TOTAL SQUARE FEET
IF SOIL CHEMICAL BARRIER METHOD FOR TERMITE PREVENTION IS USED, FINAL EXTERIOR TREATMENT
SHALL BE COMPLETED PRIOR TO FINAL BUILDING APPROVAL. (FLORIDA BUILDING CODE 104.2.6) .
DATE VERTICAL TREATED
LINEAR FEET
ENTIRE VERTICAL
TYPE OF TREATMENT:
TIME TECHINCIAN
GALLONS TERMITICIDE
I
PARTIAL VERTICAL DRIVEWAY
SOIL BARRIER WOOD TREATMENT
SIDEWALK
BAITING SYSTEM
IF THIS BOX IS CHECKED, THEN FINAL PERIMETER TREATMENT HAS BEEN COMPLETED AND THE
FOLLOWING IS APPLICABLE:
CERTIFICATE OF COMPLIANCE: THIS BUILDING HAS RECEIVED A COMPLETED 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 SERVICES.
(FLORIDA BUILDING CODE (FBC)1816.1.7)
APPLICATOR'S NAME , (PLEASE PRINT)
Revised 10/4/17 FORM# 91-0 (Okeechobee)