362 PLAZA Termite CERTNew Construction Subterranean Termite Treatment
This report is submitted for information purposes to the builder on (new) construction cases where treatment for prevention of
subterranean termite infestation is required by the Florida Building Code, Section 104.2.6.
All contracts for services are between the Pest Control Operator and builder, unless stated otherwise.
Section 1: Hometeam Pest Defense
Company Address: 6694 Columbia Park Drive City: Jacksonville State: FL
Zip: 32258-
2409 Company Phone No.: 904-730-2522 Business License No.: 1640370000
Section 2: Builder Information
Company Name: Cole Builders
Phone No.:
Section 3: Property Information
Building Permit No.:
Location of Structure(s) Treated: 362 Plaza, Atlantic Beach, FL,
Type of Construction: Slab Basement Crawl Other
Approximate Depth of Footing: Outside: Inside: Type Fill:
Section 4: Treatment Information
Date(s) of Treatment(s): 8/30/18 EPA Registration No.: 432-1331
Brand Name of Product(s) Used: Premise Pre Construction
Final Mix Solution: .05 Treatment Area Sq. Ft.:
Linear Ft. Linear Ft. of Masonry Voids:
Total Gallons of Termiticide Applied: 80
Service Agreement Available? Yes No
Liquid treatment: Yes No
Liquid Final exterior treatment: Yes No
Borate treatment: Yes No
Bait in lieu of Pretreat: Yes No
This building has received a complete treatment for the
prevention of subterranean termites. Treatment is in
accordance with the rules and laws established by the
Florida Department of Agricultural and Consumer
Services. Initial
Note: Some State laws require service agreements to be issued. This form does not preempt State law.
Attachments (List)
Comments
Name of Applicator(s): CHRIS HARRISON Certification No.: JE252234
Authorized Signature Date 08/30/18
RH-NT9/05