1656 Maritime Oak Termite Treatment 1
HomeTeam
rur eenas e•
New Construction Subterranean Termite Treatment
the report is Submitted for inlometion purposes to Me builder adme)constmaion roses where treatment for prevention0
subterranean termite infealation is repuired b�Me Florida Building Corte,Section 1"2.6.
Acontractsf r servi n P n r =t
r n i r nlea.stated otherwise.
Section 1: Hometeam Pest Defense
Company Address 66"Columbia Pat,Drive OIry:Jaokaansille State:FL
Zip:24 225&09 Company Phone Na.:904]30.2522 BuaineaLLicenae No.: 1840370og0
Section 2: Builder Information
Company Name.Tall BroMers Inc
Phone Na.:
Section S:Property Information
Building Permit No.:
Location of Structsmi Traded! 1656 Manama Oak Dr Atlnuic
Type of Comslmctl.: WMob DBaaemeM ❑Cravd El Other
Approximate Depth of Fuotirps 0maMe: Inside: Type Fill:
Section 4:Treatment Information
Dated)of Trestanama):Sny18 EPA Registration No.:8140&1-AA
Board Name of Prodlat(s)Laed'.Boni
Final Mix Sakti.:23 Treadmill Area Sp.Ft:3632
Linear Ft.288 linear Ft.of Masonry Voids:_
Totai Gallons of reinstate Applied: V
Semon Agmement Availadep mYea ❑No TNI&tuildln.has rereivetla.mplab treetmenl huthe
Liquid treansint ❑Yw ®No preventlon of aubtemnean temiiles.Transport u in
Liquid Final exlenor Veatnenl ❑Yee ®No a.okan.with Me rules and laws eatabildrad by Me
Borate neatment ®Yee ❑No Flaide.epanment of Agnoultural and Consumer
Bak in lieu of Prelrcat ❑Yee ON. Seenciax Initial
Note:Same State W.repuire servi.agreements ro be Issued. This form pass not preempt State Iars.
Akecbmerds(List)
Carenenb
Nemo of Applicator(a):NARRY CRUZ Cerifiwlion No.: JF226B36
Authon.d Signature SUSAN CLAW Date Ogilvie
an-Nimi