HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITES- Termite Inspection
� es�'s Christ is ?��.-�2=323=7921
- Termite Pretreatment
EVICT-A-BtIQ a T011 Free:1-877-385-9908
•Pest Control
s Termite & NED Fir 112-340-5998
- Rodent Service
- Fire Ant Lawn Service
k, Pest
Control, �UC�COUi9��/ Email: Evictabug@gmaii.com
�
- Whitefly Treatment
I�
_ _; 4293 SW High Meadows Ave.
- Licensed & Insured
Lic. JB175775 Inc. Palm City, FL 3.4990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.E and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
S •�
DATE OF SERVICE
!
TIME
I
D,VELOPMENT.AME '?%1 �(PROJECT)
�R^
l
CONTRACTOR'S NlME
CONTACT PERSON
i
re a � �
STRUCTURE ADDRESS (LOTIBLOCK) CITY, STATE CO T1Y
NOTE < jj _
P
ZIP CODE
TREATMENT TYPEIAREA
❑ FLOATING ❑ MONOLITHIC
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ CUTOUTS ❑ FOOTER
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ TAMP & TREAT ❑ TREAT ONLY
OFINAL ❑ POOL DECK ❑ OTHER
PRODUCTS RECEIVED
❑ BASELINE j ,DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
AUG❑OTHERA®6' '019
gMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTA �'�E,ACTIVE INGREDIENT ? —~
CONCENTRATION
❑ .06% ❑ .1% ❑ .12% ❑ .25% ]R .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED ;! V
SQUARE FOOTAGE LINEAR FOOTAGE
SZO
SQUARE FOOTAGE VERIFIED
/jYES ❑ NO
JOB READY CONDITIONS MET
DYES ❑ NO
OMEAASURED OR VERIFIED PER PLANS
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 ComRliance: 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 Services. (Per Ihe Florida Building Code.)
�• a
If this notice is for the final exterior treatment, initial and date this line J 5 i
FINAL STICKER
61,1ECTRICAL PANEL
Payment Terms: Payment due at time of service.
e7
Date
❑ OTHER
Date
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com