HomeMy WebLinkAboutPRE-CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT Evt1 d" PCx HM44g4WAI 14,--C.
"Considering Your Environment'
State License Number 114708 �
11192 47th Road North Royal Palm Beach, FL 3.3411 '+ or B
561-333-8777/FAX 561-333-8999/Toll Free 866-414-PEST
I
Pam— T""A-ZV
t�pefty Information
Subdivision: �U P< S� L Lot: Block: Section:
Address ?A 7 b I W C 7� I=D'R� 1�t4 Ll
City &Zip
Owner
Builder Contractor Information
I .
Name of Builder:
Shell Contractor:
Cbnstruction Type
Monolithic: _ Floating/Stemwall: Patio: Entry:
Driveway:
Addition: Other:
Product 1 Treatment Information
. I
Treatment Date:"chec�kne)f
Time:i� - �0 Technician:
Treatment Type Initial Under Slab: Supplemental:
Product Applied: C methrin: I Premise 75 Other
Concentration: G % Mixed Product Applied: //,'-7 Gallons
Square Footage Treated: Pam' Linear Feet Treated:
I
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 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)
I
Applicators Name (Please Print)
i
'i