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1747 Maritime Oak Termite Hom Team New Construction Subterranean Termite Treatment This report is submitled for information pupcaea to Me builder on(new)consimmion rosea where traabnent for prevention d sublerrenean bmee infestation is required by Me Florida Bui[tling Code.Sake.104.2.6. All contracts for services are barman the Pest Control Operator and builder, unless staled otherwise. Section 1: Hometeam Pest Defense Comae,Address:6604 CdwrWa Park DMe City Jacksonville Smte:FL Zi : 3225& Company Phone No.:804-]30-2522 Buaineas LimNo. nos : 16403]0000 p 2406 Section 2: Builder Information Company Name:Tol Bre0ren Inc Phone No.. Section 3: Property Information Building Pennil No.: Lomtlon of Svudure(e)Treabl 1]4]Mantlrre Oak Or Atlantic Type of Cohnnotion. 0 Slab ❑Basement ❑Cravd El Offer Approximate Depth of Footing'. Oubide: Inelde: Type Fill: Section 4:Treatment Information Basis)of Treatm nide:3/30119 EPA Regiabation No.:(4405-1-AA Brand Name of Predate)Used:Bore-0are Final Mix Solution:23 Treabnent Area Sq.Ft:4161 Linear Ft linear Ft of Mawnry Voids:_ II Dations of Tenrltldde Applied: 9 Service Agreement Available? ®Yea ❑No "bis building has received a oomplate trea".for Me Liquid Unearned []Y. ID No prevmtim of wbleveneen thermirs.Treatment is in Liquid Final exlenor Vestment: 11 Yes 11 No ancordar.wnh Me rvlea and laws eatablulad!W the Ba ate treatment ®Yee ❑No Flohds Depanmenid Agnwlturel rMCon inkier Ba 11 in lieu of PMreat ❑Yee ®No ServioM. Initial Nota Same Stare laws require wrvice agreemerM13 to be bored. This form tloee not preempt State law. Atlachrtents(Usb Cannons, Name of Applostors):CHRIS HABRISON Cerafiwtian No.. JF226036 Authorized Signature t102N UARk Date 0351Y19 AILNTK5