HomeMy WebLinkAboutTERMITE TREATMENTo3y3
Ev"g" P14 M"Af"AC 6IED
"ConsideringBY
Your Environment Lucie
St. Lucie County
State License Number 114708
-_ 11192 47th Road North Royal Palm Beach, FL 33411
C/•7�1.
gg Property Information
Subdivision: �. 6 Lot Block:
Address
City & Zip
Owner
Name of Builder.
Shell Contractor.
Monolithic: X
Driveway:_
Addition:
Builder / Contractor Information
Construction Type
Section:
/w L-,
Floating/Stemwall: Patio: Entry:
Other. C V 1
Product / Treatment Information
Treatment Date: I Time: S- 0 i icec ian:Treatment Type (mu chart e) Initial Under Slab: Supplemental:
ProductApplied: C %=mthdn: Premise 75 Other
Concentration: E1 0 a Product Applied:Gallons
Square Footage Treated: CLinear Feet Treated:
If this is checked, then final perimeter treatment has been completed and the
following statement is applicable:
Cerdflcate of Compliance: THISBUILDING HAS RECEIVEDACOMPLETE TREATMENTFORTHE
PREVENTION OF SUBTERRANEAN TERMITES. TREATMENTISINACCORDANCEWITH THE RULESAND
LAWSESTABLISHED BYTHEFLORIDADEPARTMENT OFAGRICULTUREAND CONSUMER SERVICES.
(FloridaWdag Coda (FBC) 1816W)
Applicators Name (Please Phnf)