580 Timber Bridge Ln new construction termite trtmt M
HomeTeam
PEST DEFE 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 Past Control operator and builder,unless stated otherwise.
Section 1: General Information (Treating Company Information)
Company Name: HomeTeam Pest Defense, LLC.
Company Address: 6694-3 Columbia Park Drive South City'.Jacksonville Stab 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: 580 Timber Bridge Lane Atlantic Beach,FI 32233
Subdivision Name: Atlantic Beach Country Club Lot# 173
Type of Construction: 0X Slab Basement Crawl QOther:
Approximate Depth of Footing: Outside: Inside: Type of Fill: Dirt
Section 4: Treatment Information:
Date(s)of Treatment(s): 7/27/2016
Brand Name of Products)Used: BORACARE EPA Registration No.: 64405-1-AA
Approximate Final Mix Solution%: 23.00% Treatment Area: Sq.R: 3655
Linear Ft: Linear Ft.of Masonary Voids:
Approximate Total Gallons of Solution Applied: 5.5
Number of Stations Installed
Was Treatment Completed on exterior? X]Yes FlNo
Service Agreement Available: X❑Yes FJNo
Treatment Type: ElUquid X]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): BLAKE HUEY 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: c� Date: July 27,2016