320 10th St RES19-0057 TermiteMAIN OFFICE
8400 BAYMEADOWS WAY, SUITE 12
JACKSONVILLE, FL 32256 PHONE: 904-355-5300
FAX: 904-353-1488
CERTIFICATE OF COMPLIANCE
FOR TERMITE PROTECTION
INFORMATION REQUIRED AS PER FLORIDA BLDG CODES 104.2.6. & 1816.1
CONTRACTOR:
PERMIT #:
SITE LOCATION:
DATE OF TREATMENT: TIME OF TREATMENT:
AREA TREATED: SQUARE FOOTAGE: LINEAR FOOT:
IDENTITY OF APPLICATOR:
PRODUCT NAME:
CHEMICAL NAME:
(DIFFERENT FROM PRODUCT)
(FOR BAIT SYSTEMS-LIST CHEMICAL NAME THAT WILL BE USED IF TERMITES ARE DETECTED)
PERCENT CONCENTRATION:
(FOR BAIT SYSTEMS-IF YOU DON’T HAVE THE %=TELL HOW MANY STATIONS PER FOOT)
NUMBER OF GALLONS:
(FOR BAIT SYSTMS –ENTER # OF STATIONS USED)
FINAL STATEMENT:
THE 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 AGRIGULTURE AND CONSUMER SERVICES.
I AGREE THAT THE ABOVE INFORMATION IS CORRECT AND REFERS TO THE ADDRESS LISTED ABOVE:
WARD SCHULLER / JB7717
CERTIFIED PEST CONTROL OPERATOR
TURNER PEST CONTROL, LLC.
Heritage Homes of Jax
RE5190057
320 10th St
Atlantic Beach, FL 32233-5530
08/16/2019
293
WILSON, RYAN
BORA-CARE
DISODIUM OCTABORATE TETRAHYDRATE
23
3.75GA
01:01:58 PM