1787 Atlantic Beach Dr termite trtmt m
HomeTeam
P E S T D E F E N S E'
Certificate of
New Construction Subterranean Termite Treatment
This report is submitted for information purposes to the builder on (new)construction cases where
treatment for prevention of subterranean termite infection is required by the Florida Building
Code, Section 104.2.6, Termite Protection.
All contracts for service are between the Pest control operator and builder,unless stated otherwise.
Section 1: General Information (Treating Company Information)
Company Name: HomeTeam Pest Defense,LLC.
Company Address: 66943 Columbia Park Drive South City Jacksonville Stat(FL
Zip:32258 Company Phone No.904-730-2522 Business License No. 1640370000
Section 2: Builder Information
Company Name: TOLL BROTHERS
Phone No.:
Section 3: Property Information
Building Permit No.:
Location Of Structure(s)Treated: Address: 1787 Atlantic Beach Drive Atlantic Beach,FI 32233
Subdivision Name: Atlantic Beach Country Club Lot# 39
Type of Construction: EX Slab Basement Crawl Other:
Approximate Depth of Footing: Outside: Inside: Type of Fill: Dirt
Section 4: Treatment Information:
Dale(s)of Treatment(s): 5/26/2016
Brand Name of Product(s)Used: BORACARE EPA Registration No.: 64405-1-AA
Approximate Final Mix Solution%: 23.00% Treatment Area: Sq.Ft.: 4300
Linear Ft: Linear Ft.of Masonary Voids:
Approximate Total Gallons of Solution Applied: 4
Number of Stations Installed
Was Treatment Completed on exterior? X]Yes [:]No
Service Agreement Available: ]Yes rjNo
Treatment Type: Liquid XI Borate Bait in Lieu of Pretreat
Note: State law requires service agreement to be issued. This form does not preempt State Law.
Attachments(list):
Comments:
Name of Applicator(s): CASEY BATTE Certificate# JF198942
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.
Authorized Signature: Aw Date: May 26,2016