HomeMy WebLinkAboutPREVENTATIVE TERMITE TREATMENT CERTIFICATE• Termite Inspection
• Termite Pretreatment
•.Pest Control
• Rodent Service.
• Fire A t Lawn Service
• Wh't ;Z T ' t t
JeS�,s Christ is `ohq
Euicf-A-Bug
Termite &
M h'st
Control,
Inc.
;72-323-79.21
Toll PRO: 1-811385-9998
fax: 772-349-5999
Email: Evictabug@gmail.com
4293 SW H' In M d A
e rea men &,& Ig ea ows ve.
• 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 PREVENTI Nqq I FIRE ANT SERVICE I TEKMI tE SERVICE I KUUEN 1. tACLUNUN & KtIVIUVAL I VVNi I tr'LT I KCHI IVICIV 1
DATE OF SERVICE V !Z 6— ? TIME
DEVE PME
1 �:
T NAME (PROJECT)
Q n W e r-
e S
CONTRACTOR'S NAME
J
I � vi Ci C! how e, �Gs' �i
CONTACT PERSON
"'CA
\ ,
STRUCTURE
ADDRESS LOTIBLOCK)
!,CITY, ST
A l07 c,'�y
COU TY
NOTES
ZIP CODE
311 9 g o
y': ❑ FLOATING
.CUTOUTS
❑ TAMP & TF
PRODUCTS
❑ BASELINE
❑ OTHER
ACTIVE INGR
❑ MONOLITHIC 0 PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ FOOTER ❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
44TREAT ONLY ❑ FINAL ❑ POOL DECK ❑ OTHER S
cq IV,
/DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR, St 4Uc,BC
_ °Uhty
T �IMIDACLAPRID ❑ BIFENTHRIN ❑ DISODIUM OCTABORATE TETRAHYDRATE
❑ .05%" ❑ '1j%, ❑ .12% ❑ �O .25% .05% ❑ 23% ❑ 9% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE 2 ® LINEAR FOOTAGE
YES" .` ❑ NO /❑ M SURED OR VERIFIED PER PLANS
YES ❑ NO 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 compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules
and laws establ lislied by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
If this notice i for the final exterior treatment, initial and date this line.
❑•ELECTRICA�PANEL ❑ WATER HEATER
Payment Terms:, Payment due at time of service.
/&-) - � 6- .
Date
(Evict A Bug Termite and Pest Control, Inc.)
Date
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com