Pest Cert 147 Belvedere 2012 X)0-
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PEST DEFENSE®
Certificate of New Construction Subterranean Termite Treatment
This keport is submitted for information purposes to the builder on(new)construction cases where treatment for prevention of
subterranean termite infestation is required by the Florida Building Code,Section 104.2.6
All contracts for service are between the pest control operator and builder unless otherwise stated.
Section It HomeTeam Pest Defense
Company Address:(4"_61�� � ��`'TlF�r'"��G+ �1 r��� /� j . City: State:
Zip: Company Phone No.: Z ` Business License No.:;f
Section 2: Builder Information
Company Name: l Company Phone No.:
Section 3: Property Information
10-7 Building Permit No.: !� v Location of structure(s)treated:
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Type of Construction: ❑ Slab ❑ Basement ❑ Crawl ❑ Other:
Approximate depth of footing: Outside: Inside: Type Fill:
Section 4: Treatment Information
Date(s)of Treatment: '�� / -` EPA Registration No.:
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Brand N e of Product(s)used:
Final mii4 solution: Treatment area sq. ft.:
Linear ft. Linear ft.of masonry voids:
Total gallons of termiticide applied: 5 Total number of termite bait stations installed:
Service agreement available? ❑ Yes tV"No This building has received a complete treatment
Liquid Tatment: F] Yes ElNo for the prevention of subterranean termites.
Treatment is in accordance with rules and laws
Liquid l exterior treatment: ❑ Yes n No established by the Florida Department of
Borate treatment: Yes No
Agricultural and Consumer Services.
❑ (�
Bait in lieu of pretreat: ❑ Yes �] No
Initial: clt
Note: St a a laws require service agreement to be issued. This form does not preempt State law.
Attachments(list):
Commen : I C�
Name of pplicator(s):
Certification No.:
Authoriz d Signature: Date: ; ///5z L/12—Final:
9082-9/11
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