HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATEWwe �qp —022
"Considering,,Your Environment'
State License Number 114708 SCANNED
138 Valencia Street Royal Palm Beach, FL 33411 8Y
561-333-8777 / FAX 561-333-8999 / Toll Free 866-414-PEST} Lucie County
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Property Information
Subdivision: � !" l ✓L c "- Lot: Block:
Address
City & Zip
Owner
Name of Builder:
Shell Contractor:
0 0 3 —5� Xti s) rrar�
Builder / Contractor Information
Construction Tvoe
Monolithic: _-2�—Floating/Stemwall: Patio: %
Driveway:_
Addition: Other: . q 0C L
_ Section:
Dx-,
MAY 2 8 2019
Permitting Department
St.
Product /Treatment Information �Lucie _ Count Yr FL
Treatment DatejmtcLhe�
Time: q_30 Technician:Treatment Type e) Initial Under Slab: ,upplemental:
Product Applied: Cyp�rmethrin: Premise 75 ther
Concentration: r C l % Mixed Product Applied: S Gallons
Square Footage Treated: 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
PREVENTION OF SUBTERRANEAN TERMITES. TREATMENT IS IN ACCORDANCE WITH THE RULES AND
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OFAGRICULTUREAND CONSUMER SERVICES.
(Florida Building Code (FBC)1816.1.7)
Applicators Name (Please Print) •d