1632 Maritime Oak Dr termite treatment i
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New Construction Subterranean Termite Treatment
This hired is s amord!for Information per osea to to Wilder on lees)cunstmawn oases where treatment bar prevenfion M
wbterterwn termlte inleatation is required stated the Florida Buldlrq Cube.SecOon 1M 2.9.
All t ct f b tw th P t C t l 0 t d b Id r unless stated o helwi e.
Section 1: Nometeam Pest Defense
CanpaM Address:Bald Columbia Park Drive City Jadideare b Bear FL
Zi, 322W Company Phone No.:804]30.2522 Bma ka Lienee No.: 10/0370000
2409
Section 2: Builder Information
CompeM Nemo:TW BroTas Inc
Phone No.:
Section 3: Property Informatlon
Building Permit No.:
Location of Structureh)Traded:1632 Merig.Oak Ddve Aeanfic
Type of construction: 161 Sleb El Statement 13Crrwl ❑corer
ApPowerate Depth W Footing: Ouleide: Inside'. TYpe HE
Section 4:Treatment Information
Deals of Thielmenda)'.712010 EPA Registration No.94405 LAA
Brand Name of Prodbut(s)Used:BozGre
Final Mix Salufion. TreetunM Area Sq.PC 2341
Linear Ft 193 4n e r FL of Masonry Voids:_
Toted Sallim,of TamNade Applied: 3
Service Agreement Available? ®YesONO This building has recaivada mplele treauneM fathe
tm
Liquid treaent'. OYea ®No ",.Mr.,of subterranean tattles.Treatment is in
Liquid Final extedorveetmad: OYea ON. acwrdance with me rules and lava established by the
Borate treatment ®Yee ON. Fbrids Oepenment of Agricultural and Consumer
Bslt'm lieu of Pretreat: ❑Yea ON. Servt." Initial�
Nae'.Some Stele laws require service agreements to W inued. This form does nb preempt Stele as
Attachments(List)
ConstrainU
Name 0 Appllmlm(s):REIDSMMITTHH A��/ CeMfin No.: JF1909a2
Authorized Signature 34113,14"
" ' "" /� Date 0712610
as N19A,