1708 Atlantic Beach Termite Hog Team
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New Construction Subterranean Termite Treatment
The report is submitted!for Infometin purposes tome builder on(new)construction cases where treatment for prevention of
au=nren termite imitation is required by the Florida Burdlrg Code.S tion 104.2.8.
All t M f b lw th Pe t C tr I Operator d builder. k stated o1hermsel
Section 1: Hometeam Pest Defense
Company Address6684 Columbia Park Ddve city Jadreoville Slate:FL
Lp.2 32 408 35& Cgmparry Prone No.:904]300.2522 Suainrea License No: 1840370000
Section 2:Builder Information
Compam Name:Toll Stories Inc
Phone No.:
Section 3: Property Information
Building Permit No
L.U.of BtruUurelt)Treated:1708 Marb.Beall Date Attend.
Type of construction: 0 Slab El Saudi ❑cmM OOther
Approximate cabin of Fooling: comes Inaka Type Pat
Section 4:Treatment Information
causes)of Treatm od(s)'1115118 EPA Reastrai No.:6440&1-AA
Brand Name of Pmduct(s)Used:Bola-Care
Furd Mix Solutio:23 TreamentArea Sq.Ft:3655
Linear F4 235 linear Ft.of Masonry Voids:_
TMJs Gallons of Termitidde AM W, 4
Servim Agreement Avulatle9 ®Yea ❑NoThi a budding be received a.,&.tree0rcnt for Me
Liquid treatment 0'.
®No prevention of subterranean lennites.TreaMret is in
Liquid Final exterior tmorent ❑Yea ®No accordance with Me rules add laws eatadi.hm by the
Stands Veatment Ayes ❑No Florde Department of AgnwlM end Conaumx
Bait in heu of Pretreat: ❑Yes ON. S,rvices. Inrial
Note:Some State laws require em.agreement.to be isou ed. Thla fon doe,net preempt State lew.
Aftechments(List)
comments
Nam MApplicotor(s):REID S�MMIIIT(H��/,,/�/�{ CerSficetlon No.: JF226836
A.Monxid Sigrati """ NCLANG Date 11A)5I18
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