HomeMy WebLinkAboutPREVENTATIVE TREATMENT OF TERMITES 4-22-19• Termite Inspection 19 5�5 Christ is for 0172-323-7921
• Termite Pretreatment EVICt-A-Bug a loll f0ee:1.811365-9990
• Pest Control Termite fat Toll
7I2-349-5990
• Rodent Service Pest
• Fire Ant Lawn Service Control, Email: Evictabug@gmail.com
• WhitefiyiTreatment Ins' 4293 SW High Meadows Ave.
• Licensed & Insured Lic, JB175775 Palm City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST PREVENTIO/N� I FIRE ANT SERVICE I TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE —! " Z ? TIME
DEVELOPMENT NAME (PROJECT) e S CONTRACTOR'S NAME CONTACT PERSON �Ic W ���;
STRUCTURE ADDRESS (LOT/BLOCK) GITY, STATE COUNTY '44)A, ,
5L.
NOTES
_/
ZIP CODE
G c�
TREATMENT TYPE/AREA I
/ v
❑ FLOATING
, MONOLITHIC
❑ GARAGE
ODRIVEWAY
❑ STEM WALLIFOOTERS ❑ ADDITION
'�PATIO
❑ CUTOUTS ❑ FOOTER ❑ FRONT ENTRY
❑ RETREAT
❑ BORA CARE TREATMENT
❑ PLUMBING CUTOUTS ❑ SIDEWALKS.
❑ TAMP & TREAT P TREAT ONLY ❑ FINAL
❑ POOL DECK
❑ OTHER
PRODUCTS
i
❑ BASELINE f DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR
I
❑ OTHER
ACTIVE INGREDIENT AIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
CONCENTRATION /
❑ .06% ❑ .1 %I ❑ .12% ❑ .25% _J%13k ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED �(
SQUARE FOOTAGE L/11�70 LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
" YES i ❑ NO MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
OWES ❑ NO DETAILS
i
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 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.)
i
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. '
C / _ C `J�6�RAiR;�a
Date Applicator: (Evict A Bug T4,mite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com .