1774 Atlantic Beach Dr RES18-0016 termite treatment Hom Team
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New Construction Subterranean Termite Treatment
This ropan is subtNMtl far informationpwposea to Me Wilder an(re'M eonat"don..a wham hes mhd Mr prevention d
auEtenenean hrmile limitation la requlrad by tlw Flonde Building Catle,Section 1 W.2.9.
All M cts t ce bei\Yee TheP t C t l Oo ( d builder, nles=•+al^d oth Was
Section 1:Hometeam Pest Defense State:FL
Coma,Address:8684 Columbia PeM Drive Cily:Jedumvire
ZIP 322W Company Phone No.:904-730-2522 B.I.License No.: 1640370000
2409
Section 2: Builder Information
Company Name:TNI Branders taw
Plwne No.:
Section 3:Property Information
guiding Permit No.:
Laotian M SMtaure(e)Tressed 1774 Alan* Beech Dr Mi ndc
TYPsofconaVuctlan: WSdb OaeaerMnt Och- Oms' Type Fill:
Approximate DePM of Fcolih,. OuWda: Inside:
Section 4:Treatment Information EPA Repistretion No:eg0i1-M
Dide(s)of Tnetment(s):&1118
Brand Nam of Product(s)Uaad:e'o-Ca's
Final Mix Solution23 Treatment Area Sc.FL 3892
Lmem FL226 LinenFLofMasbnrYVoids—
TOW Gallons of TarmBidds Applied 4
Service Agreement Availadey ®Yea ON. Thtabuilon0,subtanmahwiNlas.Treatment lc MMe
Llquldh chant: OYea OONO ,,,Of,on
Liquid Final odanor bea0renl ❑Yes ®No FabdaDeeppadtront of AgriwXuml and Consume'
Bursas minnent ®Yea [IN.
I Balt in Ye,of Preheat.
❑Yee ®No Servios. InNeI S/�
None'.Some State laws require servlde apreementa tc ba issued. This form doo rot Preempt Stam dw.
Adachmerds(Lie)
Comment
Ceni9oticn No.: JE254M
Name of APWicMor(aI:HARRY CRUZ
-5af Data 0&1L18
AuMoneed SignaWre
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