HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITE. C �� C✓
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- Termite Pretreatment
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772-323-7921::
fax. 772-349-5999
Email: Evictabug@gmail.com
2373 SW Woodridge St.
icense HOW Lic. JB175775 Port St. Lucie FL. 34953
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.26 and Broward County Chapter FBC 105.2.2)
PE& -PREVENTION I FIRE ANT SERVICE �l TERMITE SERVICE I RODENT EXCLUSION & REMOVAL
DATE OF SERVICE'� I Ol -TIME
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DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAM5 e ` CONTACT PERSON
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J^ 4,c� t`S�I, P / 1(��el
STRUCTURE ADDRESS (LOT/BLOCK)- CITY, STATE, ZIP CODE COUNTY
10 `fir`"% 61rej ! "t, ( zje � yv�k / <
INO{` �)'cl� dC-'t� �-eI r!a-d 1✓�5
❑ FLOATING ,El MONOLITHIC ❑ PATIO ❑ GARS.1
❑ CUTOUTS z'-yaF00TER ❑FRONT ENTRY ElRETR AT1
❑ TAMP & TREAT' rl]i TREAT ONLY ❑ FINAL ❑ POOL DECK
❑ DRIVEWAY ❑ STEM WALL
❑ BORA CARE TREATMENT
❑ OTHER
PRODUCTS
&BASELINE ❑ DOMINION 2LACTIVE INGREDIENT eL3 BIFENTHRIN ❑ TERMIDORTC
❑ OTHER
ACTIVE INGREDIENT
❑ BORACARE
❑ ADDITION
❑ PLUMBING CUT OUTS
❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION
('l]! :06% ❑ .12% ❑ .25% Li.05% ❑ ❑ 23% 9%.. ❑OTHER GALLONS APPLIED ZVO
SQUARE FOOTAGE LINEAR FOOTAGE'
r
SQUARE FOOTAGE VERIFIED /
j OYES ❑ NO U ME URED OR VERIFIED PER PLANS
JOBREADYCONDITIONS MET
1Z❑'YES ❑ NO DETAILS
r, As per 104.2.E FBC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
Certificate of Compliance: 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 the Florida Building Code.)
'If this notice is for the final exterior treatment, initial an(
p ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of'service:
: t�.
Date
Date1
Applicator: (Evict A Bug Termite and Pest Control, Inc.) P�-,
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Customer (Property Owner or Agent)