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HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEHIGHLAND PEST CONTROL STATE LICENSE NUMBER 218496 804 SW 2nd Avenue, Okeechobee, FL 34974 PHONE/FAX (863)467-6707 q0 l--- 03Q?( SCANNED St. CUC/eCOUnrY PRE -CONSTRUCTION SUBTERRANEAN TERMITE TREATMENT ADDRESS Q 2 �� { /'�\I ' /��7;��( LOT CITY BUILDER �( %C'� �I O� l� I� ,)J <S SUB -CONTRACTOR MODEL RESIDENTIAL - COMMERCIAL OWNERS NAME MAILING ADDRESS IF DIFFERENT THAN ABOVE HORIZONTAL AREA TREATED: HOUSE - U OTHER M2 FRONT ENTRY- PATIO - ADDITION / DATE TREATED 1 "l O i� 2 TIME 1 : o u n TECHNICIAN r I _ TERMITICIDE C a/ (ffl- l ( AT % li SQUARE FEET TREATED rJ GALLONS I �7 LINEAR FEET TOTAL SQUARE FEET I IF SOIL CHEMICAL BARRIER METHOD FOR TERMITE PREVENTION IS USED, FINAL EXTERIOR TREATMENT SHALL BE COMPLETED PRIOR TO FINAL BUILDING APPROVAL. (FLORIDA BUILDING CODE 104.2.6) DATE VERTICAL TREATED LINEAR FEET ENTIRE VERTICAL TIME GALLONS TERMITICIDE TECHINCIAN PARTIAL VERTICAL _DRIVEWAY TYPE OF TREATMENT: 1 SOIL BARRIER WOOD TREATMENT SIDEWALK BAITING SYSTEM IF THIS BOX IS CHECKED, THEN FINAL PERIMETER TREATMENT HAS BEEN COMPLETED AND THE FOLLOWING IS APPLICABLE: CERTIFICATE OF COMPLIANCE: THIS BUILDING HAS RECEIVED A COMPLETED 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) Vh IV r\ LA U s:� lZ 1 A APPLICATOR'S NAMID (PLEASEPRINT) ReyisW 1014117 F'ORAik 91.0 (Okeechobee)