PERMIT DOCUMENTS f�- 5/60
New Con:itruction Subterranean Termite _,inn_=ICS
Soil Treat nent Record
This fon b Gen,,fled by the 103n3ed Pest Dermad Company
Public repartFp buion for the mlec6m of InfrmaDm le emarened b average 16 Mtn per regime,Map the the toe mv aedy hobuctimn,sradirg inching data
scums,pathway I id mandehlhi the dab fatedea and arlpfetlOg and revieBhg the adacUm d Intonate. This Montan b madalay end b naiad to obtain
bent HUD may it wtkd fib hdamabn,and you em dol mquhed to Itiltpbb this form,unless t flays a cadent Talk OMB cold nut.
Sedum 24 CFR 20(926d(b)(3)requires that the Ate for HUD hatred shames must be bee of tendo hazards. This(Mawr collection mgaFes his data to certify That
anadhonbedPest 1'pttd= petfoneaf d tired feared for WS=Uhl%balder guantelees the MS koa against Irtestallon for re yen Bu6dae.
Oast coned anger as.mortgage:enders,hometuyers.and HUD e a reoad d ireabnerd fa epodac byres di use the hkenatlm collated. The Inhereaon b not
considered colder'at.
This report Is subd.ad for htymabn prposs to the builder on sco reed(rwg casbrcUm eases slim eel beahnaa for prevaram of subterranean brie Wastadom b -
spec/Bad byThe buil a,added.or wired by the Wider.eddied.Rigor VA.
Al comas for sen oes we between the Pest Control Operator end balder,unless meted otherwise
Sealgn 1: Noted b formation(Peat Control Company edmrestlo$
Compri?Nate Shin Shaoe Pest Control
Carpet Atte Iffiikamaastoos .01011:
jLa 33073
Curpaq Bwbass license No.: ,19123248 Comparry Flame m .:g 4 S0e
RAPIA I ass No.(n any I I
Section 2: Builder afonnaIL
Canal/,Norte AWS BUIIOha 8 Emrbemt Ram Hy T723412480
Sedbo 3: Pmparl frdo mtioo: I
Let don el Stumm s)(Street Address,a Legal Desaiploe Cay,$ata end Zip) 1801 Comore Palmar.Banton Back F1 3342
Tex oCamil a, (Vcrethan latebra trey becheap*21 Slab 0 Basement ❑Crawl 0 Other
Approximate Dep0 of Footing: Outside Malde 160 SF Type of FB
Seaton 4: Tresbne mtorn stio n
Dates)d lreatmad a): Meth 1120i
Typed Conshundon (Mae than one D may to dab* ® Stab 0 Basement 0 Crawl 0 Other
Clued all that apply
6'A. Sal App Ied *at Teniedtle
Brand Hama d Pr21.4s)Used: premise EPA Rephtragon No. 432.1331
Aperture's)ODulon(%). Q§_Approx.Total Galena MbNApplied in Treaanem completed on winder MI Yes ❑No
❑B. Wood Apraa I Upid Temitdde l
Brad Narne 11EPA Resanstion
Appadmeb 1B ion(%(%): UsedApp=TSI G*ne Mit Applied
❑C. Bat system I gaped
Nana d Sys sn Attach instillation hiarnnatlorn(regldad)
❑D. Physical Ba sr System traded
Nacre d syr an Attach hsizilatm Norman(rapNed)
Service Agreenon Available: IS Yes 0 No
Mn Sane Milo lin a ante aerate eneeman to tre issued This Arm does not prowl daebw.
Machrnents(UsB Own
Camienb: 65 SF Ti inch&76 SF Sherr ,
NEIN dAppllcotpr(e.iMaeSdmhw CrtlBaedahTao(9required tyState lay: JE13 g
The Seta has in at a value In=ordaaswit the pm4rd label and state remmane tis. AI treatment materia and m s used COM meth stab and fedaa
regldaima.
Authorized Sipmetu a: Dale: Math 11.2016
wanly HUD will p acute lyse and ecoetlents. Conviction may,result h aminal andaddl penats(18 U.S.C.1001.1010 1012:31 U.S.C.3723.342
Form NPChapA ma l atii be used Film HUD.HPCA43(I 113012)
/ 57
Ship Shape Pest Control
4624 N. Powerline Rd
Deerfield Beach,Fl 33073 •
Phone: (954)429-9906
Fax: (954)429-9907
Toll Free Number. (800)543-1319
www.pestdepotcom
Date of Treatment(s): March 11,2016
This notice is regarding the properly located at I j
1801 Corporate Parkway, Boynton Beach, FII, 33426
The addition to this structure has received a treatment for the prevdntlon of
subterranean termites. The building has received a compliance treatment for the
prevention of subterranean termites. Treatment is In accordance with rules and
laws established by the Florida Department of Agriculture and ConSumer Services.
If you have any questions or concerns please feel free to contact us t t the number
above.
Kin :
after
•
Kravlbky
Ship Shape Pest Cbntrol