HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESb 1r 5
SCANNE -----
"Considering Your Environment' BY
State License Number 114708 St. Lucie County
138 Valencia Street Royal Palm Beach, FL 33411
56 333-8777 / FAX 561-333-8999 / Toll Free 866-414-PEST
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PropeW Information
Subdivision: Lot: Block: Section:
Address
City & Zip
Owner
Bjuuilder 1 Contractor Information
Name of Builder: /' � C/ t) 209d
Shell Contractor:
Construction Type
Monolithic: Floating/Stemwall: Patio: —Entry:—
Driveway:—
Addition: Other:
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Product 1 Treatment Information
Treatment Date: �—V Time: Z 1 O ¢ Technician^��
Treatment Type I ustchec ne) Initial Under Slab: Supplemental:
Product Applied: Cyethrin: Premise 75 Other
Concentration: - ` % Mixed roductApplied: Gallons
Square Footage Treated: L 00 Linear Feet Treated:
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
PREVEN770PJ OF SUBTERRANEAN TERMITES. TREATMENT IS IN ACCORDANCE WITH THE RULES AND
LAWS ESTABLISHED B`/THE FLORIDA DEPARTMENT OFAGP,ICULTURE AND CONSUMER SERVICES.
(Florida Building Code (FBC)1816.1.7)
Applicators Name (Please Print)
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"Considering Your Environment"
State License Number 114708
138 Valencia Street Royal Palm Beach, FL 33411
561-333-8777 I FAX 561-333-8999 I Toll Free 866-414-PEST
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Property Information
Subdivision: SIC, L VC.,�-E yUST—Lot: Block: Section:
Address % 23 3 h'1 ?� �Sjfi ��(2 (� ►7 L�
City & Zip
Owner
Name of Builder:
Shell Contractor:
Builder I Contractor Information
Vv%/,)(C
Construction Type
Monolithic: --)t—floating/Stemwall: Patio: Entry:
Driveway:_
Addition: Other:
P
roduct I Treatment Information
Treatment Date: YHTime: I I ; 0 d Technician: ��
Treatment Type (mu 1 check Initial Under Slab: Supplemental:
Product Applied: Cypefinethdn: Premise75 Other
Concentration: _ 0 Y % Mixed Product Applied: Z �A Gallons
Square Footage Treated: 2 % y Linear Feet Treated:
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)
R Pb P-
Applicators Name (Please Print) i