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THIS FORM IS TO BE FILLED OUT
BY CONTRACTOR\ BUILDER
Certificate of Boracare Application
(This is a Notice of Treatment only and not a guarantee or warranty)
PERMIT NUMBER: 1906-0469
CUSTOMER NAME: Lester & Brenda Holland
LOCATION OF PROPERTY: 1836 Wildcat Cove Drive, Fort Pierce Fl 34949
LEGAL DESCRIPTION: SECTION: Riverpointe At The Sands BLOCK: LOT: 46
BUILDER INFORMATION
Ando Builders
Builder's Name
Signature
Date Title
SOIL TREATMENT COMPANY INFORMATION
Paragon Pest Solutions
Company Name
PO Box 412078, Melbourne FL 32941
Address
JB174052
Soil Treatment / DACS License #
TREATMENT INFORMATION
1/27/20
Date of Treatment
Boracare
Chemical Used
40% Permit
Concentration Notice of Treatment
2.05
Gallons Used
Spray
Method of Application (Rodded, Soil Mixed, Etc.)
2990 414
Square Footage Linear Feet
All work was done in accordance with the manufacturer's specifications and in accordance with all State and Federal laws governing
pesticide application.
The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules
and laws by the Florida Department of Agriculture and Consumer Services.
PLEASE NOTE: This is not a Guarantee or warranty for the preconstruction treatment attested to in the above. The purpose of this
document is to show that to the best of this Department's knowledge, the builder has satisfied the requirements of the Standard Building
Code and the One and Two Family Dwelling Code for the protection against termites.
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S T S 0 L U T 1 0 N s