1895 Atlantic Beach Termite HomeTeam
1x11 errr RS[
New Construction Subterranean Termite Treatment
This report is submitted for infomatn puryoses to Ne builderon(new)c stmcdonrasesw0 retreats Mtrpreventond
subtmranean tmMe infeaulion he
required by Na Florida Buioli�g Code.Sedlon 1p4.2.fi.
All contracts for c b Z en th Pe t C t1`010
Mt a tl builder kes,Stated otherwise.
Section 1: Hometeam Pest Defense
Company Adhess:6694 Columbia Park Do. CBy:Jacksomolle Slate:FL
32258-
LP 32258-
COmpa h,Phone No.:904-730-2522 Business Lksnse No.: 16403]0000
Section 2: Builder Information
Company Name:Tol Brothers In.
Phone No.:
Section 3: Property Information
Building Permit No.:
Locabon of Str dphe a)Treated 1895 Atlantk Beall Dtrve Atonfr
Tyne of Constmceon: MSlab ❑Basement ❑Creed ❑Other
APPmxi shoo Depth of Footing: Oubide: Inside' Type Fill'
Section 4: Treatment Information
Datppd of Treatmentls):0]/10/t418 EPA Regis alion No.:6440i1-AA .
Brats Name of Probuct(e Uexi Bore-Care
Final Mix Solution:23 TreatmentArea Sq,Ft:3883
Linear Ft.229 Linear FL of Masonry Voids'_
Totat Gallons of Temeticide Applied: 4
Service Agreement Availa01e9 ®Yes ❑No TM1is bWlding has received ecompkfe Vestment for the
Liquidtreatment ❑Yea Otho prevention of subfeuanean termites.Treebnent u In
Liquid Flual exterior treatment ❑Yea ®No accordance with Nerds.and laws established by the
Iteral,trestment ®Yes ❑No Florida Depadment of Agncullural mci. msumo
941tinliauof Pretreat: ❑Yea IDNo Services. Intlial
Note:Some State laws regWre service agreements to be issued. This norm does not preempt State use
AMachments(List)
Comments
Name of Appliratgsp HARRY
'CRUZ Contusion No: JE2522U
Aulhodzed Signature -AcS9YZ�%r`r"dL a Date 07Nwt8
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