1764 Maritime Oak Dr new construction termite trtmt THIS AGREEMENT PROVIDES POR
RETREATMENT OF A STRUCTURE
HomeTeam AND THE REPAIR OF DAMAGES
e IIr o 111 u s[ CAUSED BY WOOD DESTROYING
ORGANISMS WITHIN THE LIMITS
STATED IN THIS AGREEMENT.
Aaome Nw-2592427
SUBTERRANEAN TERMITE REPAIR AGREEMENT
See et L GENERAL INFORMATION.
Name: not 108 ABCC Billing Address: 1764 Maritime Oak Drive
Service Address: 1764 Maritime Oak Drive City; Atlantic Beach
City: Atlantic Beach Slate: BL Zip Code: 32233
State: FL Zip Code: 33233 Home Phone: 000-000-0000
Work Phone:
SxWo D. INSPECTION PINDINGS
The[mtitiw Nlbeaetlily e¢mible weoFl6eebudluq'ak[aedYlFeSmice A4Nm o0.Me6leaflM leepa[Ibh only is litlW belarv:
e. ❑rvo VtlWe eviJmxofprtviauam[wml wpmmeanlwmihinheWion we mar,af.
b. ❑Ounae- m[e ofaudmembeemole inhommar wcbrmbf bia" wv'.
O heaublmanunlelmiw Mari ueli aFm imieabam MealmeW waits
O nmembe puha mil boles er Meller liber ye br oirea r l Icean n im b a l m Me a e.gapb)
Unaware- mew nMefirf—he meme:
Anymeam,mlN abmxMwllllewnaiJelM rely mend—fn eirehe iousinlmalimhfwdmah.hWww.rJuy aJrbeNundnW¢ctlun
A owhe art cheeped,une deg—if Norge,IwtlWAg enklm d—b e,wry be prom,The inspavWs man,mA m e imm d.her gorify IM1e
impwla N derm,ernwhim a my Mr,mWmS[warvehm lerim-118ym&11 gni r.Myviaible miEma obgvm aWw apex:
OANve; Unman, OAglWry nnnMWJelaminetl nlMoul furlber lin'o111etlon.Rmsre:
(n wnp[e .4 Gid upon Ka'bk aV enJi%ea nn by Mmm re/poatlMemeverm,n wAa/Feeeniye.Wlbn bemlworlmaYlce
HMuurM�^JsubWvean ln.9+cHnuaMewlvneaneowrn plM1N Jnwe i/
❑Il nppms1he11M1e slnclmefsl otapMionolMeatruauMe)may Favebm pmiouily hmlN.E,,fameofprevmashmathim
Sma III.OBSTRUCTIONS AND INACCESSIBLE AREAS.
The fallo✓lrg elmaoflhealuluma)inpslm weeobprvtlm u inx[arible Iw S[ninn V/Lf uM[e General Rmf aMCOMteell:
O Bn t O Evil O Coral sate O Each O Mae Terrell 11 AMIne O AWe O N mre O OM.,
feel
Seeme IV.ADDMONALCOMMENYS.
Sa ea V.TYPE OPTRRATMBM.
❑NadcarWMm CmaliveTabvl Oh,--We jr a/—Mien.nfri,Cre er,'n ieSm bn m Mrte/
eMmrtpir Hng mermiawb/emneenmmimaf
❑PwIc.-PmaeWlve Tremoml
Lcemerofhem eSImetre'.
®P wCare--Tmumml
❑She
Tla eml.e hr,idell egaina Me aback berhor s Emculilenom sap..Hmademss sap,and Coplalmn¢app.(Ponn—h.bal Otte nol'Merl
why'anyolbmpea,pbnl, mbmmmmber ilw.Uunng Melmm oflFis Agranlmt Homeimn Val IXfenu,Inc IMe-c—perry.)
will ei,"t1e IreYm ewclwgsl annually reL mare(relumliman"av IM1e C,Ther ,neeavy upas Cuacmely'hem,w browme C,maal Penia
em Carraims re Me laze side.Cwlpm w,b s w make Oe lmlm aW[Iman)available Me le eVeaim.The Crelpmy will neral Me 1ruIM a ndarris)only
opal U)vom cwhmey of a live I—ee iefmaion u My diawbnwe of IM1e soil rewinding Me marm enneem).The fernery hm hm Mgalm w mem.the
Moaame fn'ba1OrtE1m mold,w hog,By law,Me Cher myisna goaynal.irmeiml m her-al memberfa Manorcom mvldv u fee.
Abbe T—.UYe: 09h1R016 PAYMFMMPIHOD:
milia Tmbnml Dah: 09/31/2016
Orem Perham;, s ❑aM OrnaT Oc,emczm
Bm—Him T0.00
Amml aacwal: r If Prying by al Wil real er rewniry ANI fimm exr Wk pgml,Plww
eari the Llabm AUIWnm.. Me PreAmrylM larvalla.
TW AN-1 common remiIWtlebu,mmffirm. .-Ire eme Me Coaaey'eoNiptlem.Fern rntl 1.a.,.Apumeh balm.led.,
In mivEmlim fm IW Cwipuy pammie Me eaview mar.Mwe,abi bhl,wh to Me Inm.ad maxima of Mia Apemem Cuamnar m—to mere Me
gymmle marMm awe.Cumaov mtnmvlmgm rsnPl oft Siam[opy of mix APmnml.This Ameeml I am damn,re Me CaTemy.1.1 signed by m
aW banval'a veulive Om[a afibe C"
CUSTOMER: HOMETEAM I DEPRNSG me.
Siglulwc s,mr.e:
Neakme NramE e'
Eml: FR-m Rle os/3x/3016
WUT�:YOU.ME CLS MUM,All YCANCEC MIS TRANMMON ATANY TIME IS fee EDAffl NTOF ME Emmen BUSINESS
DAFAFIER THE DATE OF Dan TTINSACTTOM.SEESHE A TTACHHD NM/CE OF CANCELLI ramal FOR mVEYi DON OF MIS RIGHT.
O am,nim nn infix lm.I1 YI2-O9YSVq
SMbn VI.OBLIGATIONS
A. no C11Yava a8rem to to solely respmlaible for,—mmdmg the TrgIW Peluso hs down my cmailim mndery,Io,—.inlcYnm f-Cdtliliwu
Conducive"is below la ex inarder).The CWmnv anfm la W Wel,responsible for idemplaang and mrtegio,Cmltlinons Co...—I earn—boil,.
emoderved,weir he C..gnq sed onto the Cm ,p Failte 1I1meC,yto Ast Clmcmcto my oftheaWere[gdilims dmml most Comment rnPortsiood,
arch Ibis 9c,im..neNlicat the eximare o(ury Cmm.asmeCmduda'eeel omen Iimelymlla.Yed.int'marl,aryCmil lies Coastal exerts M vaible d
ow lime of Ine,exuded of Uis Affament,led pmts For Cwpny,on els ark di....to mand.she K ao bodile CHstantt to pucMn my
adat ional r.armml drops a o as a result.11.C..-CWmve.adman spm W fully momenta wilto Ine Company dunvR the Ion.,I.,Am.,am
a8rssIo maintain awmeags)bNel her in saa caraddiw Cwdndys,glnspside.—a may Nasedbilow in'Ieiliwl CmxnmlJ ISMIm XVI,
CONDITIONS CONOUCIV@ Comlilionr CmMtiveiv.IWe,bW are MlimaW W,mofls4q impopavmlilalim,Sonny plmnbirB.vA aroma ImtiminWaonin
M the moommo:iMemt Ymcnvd pmblmuin IimW lo,
,io lueim,bN vi1weed to preal mI.,mammy Winds,and .M me or man i.,Imo
ma1mwlaaon,suv:m ccnnmotem M.polydyrme N a,..—mmeW rwWdi a sy4mu.aiding(mdndilms virel wondered Amp if wilnm 6 i..arlhe
&mune:of mdnn Ameseve a—.mvmB and mBmvmd.IVM
M1,lumber,wa ,mB
u b,eM1mba,v,yeAm dha pm Wive pvmooi
d cooing if arisen 6 mothm of
comelwill.."non
B.ADDITIONS,ALTERATIONS,AND OTHER CHANCES.This Apmnml mvm the Sarroareds)iamtifiM in Ssnm I ripe eine open ended statement,
Cugmmr will ii=WiAWy tMlry the Company in xnlinE(1)Wa to 1Ne intentional)baro,sl demand Y mMifiM,tiered or dnernu nhngel,(e-)At as my
terminal Moa Winiw m w dos to the headed of my Slant,(J)it sell is ornoVN m added azwm the boanealim of(he otarl"gv)or(a)soy Cumming of
bell sluipmY or Imphom mus.Faison,to to IM1e Company ter wrong of my wand lista more,me,sold the Agrsmenl.Addill Atal xnim orm irW by my
wool arpromme or arse men,reel may N prm'ieN by the Cooper at Comear's minimal and may,"arm an mjparriou on the emewal(tt.
C Rear,and Emmtmmt Cofer CMontr... emjW to He award terms mtl[wGlions of odor ASmmmnLlf an iresWom ofvublellmem
n the board Mmgal
nr ,mono,Ueen e lmthee Agreement.the Company will rdrd Hot aofmfaaua arr
on nn whaal cWBe aadi
In fi—cement
totne8enn0 tette ma cmthtieno,thas mttmml Ue Cmrrymy no.m tier aim ml,now,temile damage te the twd memory)no C®µtmyl lay harder,
willem a[mt .soy tinder,
erlhelea And IssW,BWuybllpeters wirm rill,ole.bmam Sir.norapnm,seed SI,8W,b0omthommore meown
the tmnol IM1e A,r¢ l."dErned N Sim mdrnwyL Gorman reportersoweivnmytWm kr¢onrrywo mnpnvmry, sed-donee ol,ord wi ittalo
the mi,it= orhe Noatan Io miter n SHdmmnwt tmntte demem pr sr isamaud opal;lass Kusa bu5Ns5 Ulmt gre Company is orvnlue,s,my'dtgma"
al r ere the arm e I of Sudmmon moo,
elm m Subtmvbn Innis damage.IM1e the Co x Command
the s edithat the of loo r e e,Co.ng a smile antl
m[ml for lmnile a nta and
polm rMh above A. err maroon&,to Ira dmtltter,lomat by tee o r my in m.pes(annarc.of us .m d try be wNym anry
claim rw patem mammae,ma antes troyepa arts,no[iqunaarcm[Hall cgmm�r be vela teem ran my awnounl grwlm mm the amonm pain ser be
Clwgm e
CmlpmYfmse lamrt imprhl.fe,the— I'm or _
S.BoneWnbaemarmat Imp mite Bonn..pared.INNI,amed,monnedemhe"Moditersomen Known, ,glaamnd.um for a perlod of tlmK named to le blbw Ing Dematomphoor,or nd.not Company Is ml
mosposed.er(i)repair,S subleeansn 1¢mm do—.N are mm W arm orris)or IM mmrnR thereof that returned prior to a Imamem dale or that
i .wIUm a.momsa frimams a treatment date m,fp am emissions terminal A CLslomer ar a roma err mayaH[h damase.
.ii nm'arme,e,ssenaen[W br m,v¢'-^[.aHYveamnnns.ox�eamu..the
is A,Imnmt is o pmt E rmlw;naxsimmomidotion anon rmmmw ma le ion of the
bylheC ,only Ueemos yya,on dwreAxd 1 tlIM6e mod
edwneSeml he CmnpmY.[mN nr Eel rw 'dmoy wUrinemmmrle mN Anne
rcmbs,Wl my la m.o-1 lYt mmmss,setMel,1,,fmnC armeeor nom hers does,flow animelt two Comersdm ollh
C Star.,la the whomma8 pm inims of Shim VIAE,i(1he Compury[her¢not to opera Ut mammae itssl[Cuvortw vnll se mlitld to xl¢I me unlMw
arts ooperaannlreHmdM ttyaito to Ue Vald 9u'lure(sj.lfimloemein8imoamn......h a magoom,coVmner,arse to plwiaed, canyanya ropy Mthe
pnpgmwwnd[ want bb.H IM company dn—I-the bid to M leesny<Casbmm aglm m gem maw[to tM Ilmmd Wwtulgv) m
Bar
hope.formal
or ^eiixmpaM ommon a'tamno� m inwent.Incoal wnme tree are multiple bids for repair were.Cldone rknmrleWRa that
5 Ttr�mtpany iv nm mopcnvible(w IM1e repair of est reverie datwge Inobd on IM macM1M ittyxesm ggthl a nidi.dnnage exisfing as of IM eine orBaa
nemmt .The cm.pmy lawn.ant manma¢Initar,eama,ea.Wm�me,atlmnd m�t¢emm nf.pn.mt¢mm en mrthe mama eanm,mm mine ens prem
A®mnmL Cumm�e wetves all claims fm amruge la IM1e propel,or ample that nay rewla tltrtctly q iMilmly fig.micro plwitlsi by the Colmar,,will Ue sine
ow
sptim IN[Hims(maamamoodm to IS pees uBlt!%%.lmCmnpenymNor ils.mployen.
U.PMrtal11tnml LimilW Wat'u.Iy Rm[ml.irefolbx' gappllm iflrecmnpmY paw'ioudy proeddapmlwlmml for vublmmwvlamit.pdmnonmse NnN
[anyone "Alowlrelbe pmmmtsalsome dmed.Hean crommands for The Company broom,ntifiri s,mm ortmevlrompons- sl,en h5 me,trimer,tvmilm m Tarlo d the rents,of
dung seine
You Mere the noun,m row this able - _ gaumn heYULm)arrd.postal—Ye Norm mecwyotimaoa He
nit Ian V1.B,
mmwval aseme.renewaltee shown on se beer mmyaMM1M1eAmoraltm mined tto teenda foronyea ihmmmeyenpmMs)reed lsalanhenine or exh
mmwalwope'Iumd TheCmpmYNmpmrlieslhy is lm®bdm E—I formed tosmibm9mnn VlAebvnd e Pmmtrdm 9¢Em V113 Eelow)sa ave emapsenw meYm
Stab,VIC GENERAL TERMS ANO CONDMI
L INSPECTION.The stmannm pmaNN of no Cis A®mnml as mentioned in Ne lowed,aeemible arta of the 0u[Ov4'd IaYed ar Ire Smit Adders.If
lhertadilYaces ble�amreazesor Ue AIINutGv)instWM,n clmr aNla[mi amac awl of damu8e,inclttlinBriddm damage,maY be Wmettl.l einmemparorae Aly
pW arm rbslmnee or inaaosibledIne pane orsuinytmlim.Allemamgv athmmweesae^ImmnmmWday,arramwtedm.This Imydid solh luumm
1 YWin sPa mMmy M.The CamgnY aim pal-.1st the
ob9mcW m1w inazcosible Im PM1ptol arm,m se se Ccnmmmy,my¢t vee sn ryuimd Ue UmltmB aput or Into, or err ltn&o Irnanl of anY
ZTEiM Latest
art,tionm lo'.mmlal,plOarmveinss,wNtws.spec,tha,celin that
hale of ReeAgarment WIf he[emNate(11) p aims.
TERM. menti mhmvin morainal,thelly ooa'oed M1emq Ue amen nam Uel a it me leen e,hal onN the I will te for twelve men mo Ca ran will he
g marayfear on an Omnibe„ oamufmunen Um(4)mN1 ga meHityen=we publico the larded lam,don't y morml by Cuslmm¢nf IM1e
emWmmewm Is sownmIM1e(mmlpest of the bad
edojnraenjtmtttmo,Covin it 1{tismthefighttunlet allowmy,Kom of ameby y,vm3to dM
party x'nOm Wia tl wast Calami,1301 mays palm to the..arse om tmml leen.MC)data amevm the pe to increase oIne Die of mere[,.This Agrmmu
eerybememimtmdby Cudmnery tormeetly wnatrn.dicetothe('ompmy wi MHurry(30)dataNnomNsImmoofsemaceor osem played
]. tho ComOry, oriel eslm tore.,.Iarral.a.,a Lncuaonte§ and am sS mY milimofwNtof IDmne M1aa t—dm tf]mdmm�ere plvdw Noon
by ase Company,iocluetnt.bum sed prom to any am all.If 1.
co IhL are marauder,m.....asY(6 mUmmmm Immon m Wt merml or ngye arta,
insdst or the meOCt ram Hire ttvunmss.Innecogiliou is ma emWNaralso ry(6o)try.Inas any ootiorylM1e CmmpenYmer,in its
misborrowers,
IItteminale this ABmeua.tiitcon-1 roma CLnmnm Women agrmwmyvldvsytamw dMmnmq'dfi¢fi¢nmYrazam[minWain,to in!¢Utiory sucM1
se worts,mdb uCLAIahemaroWSmil D TRE.saminRwac unto Any thWdooudv.Nm.
a.NOTICE, a CLAIMS.ACCESS TO CRUCI f fa Anydyer oma soy Agreementmainyon made sttnMinelywrmiog tots cmnpmyops.
HThe e,cwnrynn iseloard,epeRmnemtothis nswer Agreement LLawmvallows been nominated
ey to not M1mled SNIetWa)farnaryro To Cmnlavpind pay
sus Agremw LUCY BrmwmM1mint mabodel aion,wew (he iofineim.M1ubem ryued.by CSon I.
room odo Co. wyby s'In. ton
eary
5,ASSIGNABILITY.This Agemmd is, athe,m,newwatt A se , a,nls)lacetm]elthe Sonyie ,Val,
Tom rendes
bmefw he,mjuL the annual renewal r, mtl close the tow of 1 renis ala rettwUta.obligation trywt err mph trader.o the neer ons,se to for t
nvHM mve,ge within Ilmr(ad edfl dere orate[lad moo monumentally
Ue..Is)m aw Hd agree to wr IM.nay rnml r¢m barest ons,se Comfort
.PAYmts andear NTUnfle,Coporlwill itrvnNimtlyane a ubttmi[willmntnYeeR isre aemseeabmated—omasmproa11.ndthe p—
u ropr1.
.PAYMENT.UdmsctWonde pr[resior WIY.tee CmpnYtdll Inver¢CmtwnvmHmmUlYbmislm stvtm rmanN in IM1epngmontb 1M NIIamquu of
po invoice issueantipayolal(S.poio.InvoimlM1NmMmW wilNmlM1ieSe13a)eaysmproymem ma llneem,intedctUe unmid dommedaoro the
to Arravaof 1,5%per moss(Is°aper yw)wUemmi nor Weylowenb/ngreson Cmnpmymustees in
anidt tom11M my mwttm nese me Comp the
Camm�ywill Us entitled to rawahmn cuCmma all mnaof[dkdime imlueitlssoamUle Wdneyi'lm,in etlaitim to all mlNandingamUmsecese menumse
'/.MODIFICATION OFSTR 'thera er Thee AS rbefor any ml kn1rn sWqurels)m exinU the Alumina,
se iarle, umMmt mdmDer,bmld aamtlure ie
unl1Y mmiifid,red m otlmwiss eM1an,ea,or before any sail is remover]m Ada]artwd the NwdYimy ser h!my mil is rmtme]nom unme the
Cmsamn say formal stmodmled,0..of,her Com an I.d.led'astrownms am'q a.,mdilimny nmMmL al CLrmoda mRn s,recd ams,membrane.1(
ABreem ytmmmm I.IM1e oma Kabel ddiam,Ue Cmnpmy ran 1.fight re mjad lM
affland maw.me.
S CHEMICAL SENSITIVITY OR SPECIAL HEALTH CONDITIONS.If Cualotm Wier UaI Clmmna m palm ecumnts oflMllmtNsvumuevem wnay
(A)be meilim to legici@ylmnneiea or Utir most¢(B)Mm nae M1ulth mndillome Uar eery W Formed by peAiddMmniaciem m tMr,cal Company
odds Un you not ber,are irad m a mlaegamt avis pmfoemd,t your p—.-until yam base mnsubM with,Teeny Phydmm.AI your ranal
Common,will protea m(mmaw atrm se chantols to be IesW err.nmsira IM1e protons,by was idim the IeeMen.CWmne rssmms the nee mtl-.-. Y am
yid®me marnN me Cmnpmy in—w—yon,ALL wassawily m normanm.At your repand.IM1e Company will ooWe m erged n abut me nenocals tots IAN
mmdgmmso.ARBRMTION.AHY CONTROVERSY OR CLAIM ARISING OUT OF OR RELATING TO THIS AGRMWM OR ANY OTHER AGREEMENT
BRIWEEN THE PARTIM INCLUDING BUT NOT LIMITED TO ANY TORT AND STATUTORY CLAIMS,AND ANY CLVMS FOR PERSONAL
INIURY OR PROPERTY DAMAGE,SHALL BE SETTLED BY BINDING ARMTM ION.UMMS THE PARTIES AGREE OTHERWISE,THE
AMTMTION SHALL Me ADLBNISfE UNDER THE COMMERCIAL RULES OF THE AMERICAN ARBTM WN AS SOC'IATION 1^AAA^)
OR IF APPLICABLE,IT SHALL M DETERMINED UNDER THE AAA PROCEDURES FOR NNSUMEWREWTED DISPUTES THE PARTIES
EURESSLY AGREE THAT THE ARBT TR.QOR SHALL PULLOW THE SUBSTANTIVE LAW.INCLUDING T.TERMS ANO CONDITIONS OF
THIS AGREEMENT,AND THAT ANY ARBR ION PROCEEDING UNDER THIS AGREEMENT WILL NOT M CONSOLIDATED OR JOINED
WITH ANY ACTION OR LEGAL FROCEMINC UNDER ANY OTHER AGREEMENT OR INVOLVING ANY OTHER PREMISES Al WILL NOT
PROCEED AS A CWSS ACTION,PRIVATE ATTORNEY GENERAL ACTION OR SIMILAR REPRESENTATIVE ACTION EITHER PARTY HAS
THE RIGHT TO REQUIRE A PANEL OFTHREE(3)ARBITMTORB AND THE REQUESTING PARTY SHALL BE RESPONSIBLE FOR THE COST
OF THE ADDITIONAL ARMTMTORS EITHER PARTY MAY REQUEST AT ANY TIME PRIOR TO THE HEARING THAT THE AWARD BE
ACCOMPANIED BY A REASONED OPINION.THE AWARD RENDERED BY THE ARREM,TORIM SHALL BE To ANO BINDING ON ALL
PARTIESEECEPT THAT EITHER PARTY MAV WITHIN F)DAYS OFTHE ORIGINAL AWARD REQUEST AN ARBITML APTEAL MATURE
MENMR APPEALTRIBUNAL.THEAPPMLING PARTY SHALL BE MSMMIBLE FORALL APPELLATE ARBRMTOWS)FEESANOCOSm
THE APPMLTRIBUNAL MALL REVIEW ALLQUESI'IONSOF LAW AND FACT UNDER A CLEARLY ERRONROUS STANDARD.THE AWARD
OF THE APPEAL TRIBUNAL MALL BE FINAL AND BINDING.JUDGMENT MAY BE ENTERED ON TUE AWARD IN ANY COURT HAVING
JURISDICTION THER1l CUSTOMER AND ORIrIN ACENOWLEDGE AND AGREE THAT THIS AMETRATION PROVISION IS MADE
PURSUANT TO A TRANSACTION INVOLVING INTERSTATE COMMERCE AND SHALL BE GOVERNED BY THE FEDERAL ARBITRATION
ACT.
10. ENTIRE AGREEMENT AMC SEVERABILRV.Has informed and the orale grapM1 meaning,the enNonlineartiNonlinearbl
l wem IM pari¢ Nslana
,apody wammtay sgteanUtha[on morin&mw ABlwi Cuwsam's,Hm",..I on my pmmim,aSrarml mitalmml,where,mop o,—a-,than is W
nprmey end folly No rMn in this Ammonia.limy part notes,Statement—here to No...old or mtm..a mal and,'a—., ow—..ad teem and rmmaimw
o(Uls Agrmnml Mll tatyvim Nll forvx me dim Thelemwof Ue Ag ml slalNhedn tray nm be emend malawm wpm awnnm,saran lS afglwedmit
S.gnN by i,wawa,t3p.eroremnpmr.NmoNv empNymgaRmmolemm.y tayemabmym mmrw m an.only pan ones AaraarmL vmyidad nmreyw.
11u1 ar to se IPacgmw�i tSrotN la keinvanmrtur,vfmlWlelmM1mluGn�searlllhe ARBHMTION peaRaph dull MPmdwnm b4eelwd�hanmtn lUsnve wPdvak
e mtrysmea rnyo A,rcmtma.
OlbmTem PenD.hrctereal Y11{D3MSYR1
M,
HomeTeam
P[ sr 0 [ I t N Sr
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 infestation is required by the Florida Building Code, Section 104.2.6.
All contracts for services are between the Pest Control Operator and builder, unless stated otherwise
Section 1: Hometeam Pest Defense
Company Address:6694 Columbia Park Drive City:Jacksonville State: FL
Zip: 32258- Company Phone No.
2409 :904-730-2522 Business License No.: 1640370000
Section 2: Builder Information
Company Name:Toll Brothers Inc
Phone No.:
Section 3: Property Information
Building Permit No.:
Location of Structures)Treated: 1764 Maritime Oak Drive,Atlantic
Type of Construction: ®Slab ❑asaemenl scrawl fl Other
Approximate Depth of Footing: Outside: Inside: Type Fill:
Section 4: Treatment Information
Date(s)of Treatment(s): 09/21/18 EPA Registration No.:64405-1-AA
Brand Name of Product($) Used: Bora-Care
Final Mix Solution:23% Treatment Area Sq. Ft.: 3860
Linear Ft. Linear Ft.of Masonry Voids:
Total Gallons of Termiticide Applied: 5
Service Agreement Available? ®Yes 17 No This building has received a complete treatment for the
Liquid treatment: r Yes ®No prevention of subterranean termites. Treatment is in
Liquid Final exterior treatment: C Yes ®No accordance with the miss and laws established by the
Boratetmatment: ®Yes ❑No Florida Department of Agricultural and Consumer
Bait in lieu of Pretreat: r Yes ®No Services. Initial ' s
Note: Some State laws require service agreements to be issued. This form does not preempt State law.
Attachments(List)
Comments
Name of Applicator(s):CASEY BATTE Certification No.: JF198942
Authorized Signature Date 0921/18
RH-NT9/n5