1726 ATLANTIC BEACH DR - TERMITE TREATMENT Ho Team
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New Construction Subterranean Termite Treatment j JUL - 7 2017 {f; l
This report is submitted for information purposes to the builder on(new)construction cases where treatment for prevention bf 1 /
subterranean termite infestation is required by the Florida Building Code,Section 104.2.6. j �_ `��+....✓
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:
:
p 2409 Company Phone No.: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 Structure(s)Treated:1726 Atlantic Beach Drive,Atlantic
Type of Construction: t Slab ❑Basement 0 Crawl 0 Other Type Fill:
Approximate Depth of Footing: Outside: Inside: yP
Section 4: Treatment Information
Date(s)of Treatment(s):2/3/17 EPA Registration No.:64405-1-AA
Brand Name of Product(s)Used:Bora-Care
Final Mix Solution:23 Treatment Area Sq.Ft.:4154
Linear Ft.261 Linear Ft.of Masonry Voids:
Total Gallons of Termiticide Applied: 6
Service Agreement Available? ®Yes 0 No This building has received a complete treatment for the
Liquid treatment: 0 Yes No prevention of subterranean termites.Treatment is in
Liquid Final exterior treatment: ❑Yes ®No accordance with the rules and laws established by the
Borate treatment: ®Yes 0 No Florida Department of Agricultural, nd Consumer
Bait in lieu of Pretreat: ❑Yes ®No Services. Initial
Note:Some State laws require service agreements to be issued. This form does not preempt State law.
Attachments(List)
Comments
Name of Applicator(s):CRAIG MILLER
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ER ,Q Certification No.: JF198942
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Authorized Signature v'449 Date 02/03/17
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