HomeMy WebLinkAboutSUBTERRANEAN TERMITE TREATMENT CERTIFICATE/ qo?. 03 57
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"Considering Your Environment"
State License Number 114708
11192 47th Road North Royal Palm Beach, FL 33411
561-333-87771 FAX 561-333-8999 / Toll Free 866-414-PEST
Property Information
Subdivision: l�'�rV%rE C-T-1 % Lot:
Address 0(� O CIS}
City & Zip
Owner
Name of Builder
Shell Contractor
Monolithic:
Addition:
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Block: Section:
Builder / Contractor Information
Product / Treatment Information
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SCANNED
BY
St. Lucie County
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Treatment Date: Time: 1 , 00- Technician:l'"
Treatment Type (m t the one) Initial Under Slab: Supplemental:
Product Applied: Cypgrmethrin: Premise 75 Other
Concentration: - aU % ixedProduct Applie�: r' Gallons
Square Footage Treated: Od Linear Feet Treated:
!f 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 RULESAND
LAWS ESTABLISHED BY THE FLORIDA DEPARTMENT OF AGRICULTURE AND CONSUMER SERVICES.
(Florida Building Code (FBC)1616.1.7)
Applicators Name (Please Pdnt)
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