HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATETermite Inspection
• Termite Pretreatment
• Pest Control
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• Whitefly Treatment
• Licensed & Insured
If
�P "2-323-7921
Toll free: 1-811385-9980
feX:112-349-5999
Email: Evictabug@gmail.com
4293 SW High Meadows Ave.
Palm'City, FL 34990
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6,105.10 & R318.1 and Broward County Chapter FBC, 105.2.2)
PEST PREVENTION I FIRE ANT SERVICE I //1TERMITE SERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE /�' % ' 4) TIME. M, 00 _
DEVELOPMENT NAME (PROJECT) CO��' jRACTOR'S NAME CONTACT PERSON
(_7r0Z0. 41,111PI-S �tOur\ef 0 »d 44� 54s 7�
STRUCTURE ADDRESS (LOTIBLOCK) CITY, STATE COUNTY
7D0L1 S�.an4s 7% BSI ,FL 31. Zt-/
NOTES ZIP CODE
TREATMENT TYPEIAREA _
❑ FLOATING 6 MONOLITHIC
❑ CUTOUTS ❑ FOOTER
OTAMP&TREAT ❑TREAT ONLY
PRODUCTS
❑ BASELINE
❑ OTHER
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALUFOOTERS ❑ ADDITION
❑ FRONT ENTRY ❑ RETREAT ❑ BORA CARE TREATMENT ❑ PLUMBING CUT OUTS ❑ SIDEWALKS
❑ FINAL ❑ POOL DECK ❑ OTHER
SCANNED
ov
AC] DOMINION 2LACTIVE INGREDIENT ❑ TERMIDOR SC ❑ BORACARE ❑ PREMISE ❑ TALSTAR St. Luce County
ACTIVE INGREDIENT
,061DACLAPRID O BIFENTHRIN ❑DISODIUM OCTABORATETETRAHYDRATE
CONCENTRATION
❑ .06% ❑ 1% ❑ .12G %❑ .25°% B�05% ❑ 23% ❑ 9% 0 OTHER GALLONS APPLIED
SQUARE FOOTAGE 2 6 B S LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
.O YES ❑ NO MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
i9.YES ❑ NO DETAILS
"Certificate of Compliance"
1z_710
As per 104.2.6,105.10 & R318.1 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 established by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.) , n Ch
If this notice is for the final exterior treatment, initial and dale this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER
Payment Terms: Payment due at time of service.
Date
Date
❑ OTHER
Applicator. (54ictA Bug Termite and Pest Control, Inc.)
Customer (Property Owner or Agent)
www.evictabugpestcontrol.com