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/TE SERV/CESEmi • State License JB228623
•
Building together, Growing Together
Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)
SERVICE ORDER NUMBER SERVICE DATE TIME , WEATHER CONDITIONS
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DfTWIPMENT NAME(PR E T) CONTRACTOR'S NAME CO TA ERSON' i
MOD,s
f}�D SS(I.AOT)BLOCI�j � ..jr� ICITY,ST E, I COQ COUNTY
lu
ONTA PHONE NUMBER NOTES / A `
3 ��
(rRiA TYPE/AREA I /
❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAYS
EM Vy r ❑ADDITION
❑CUTOUTS ❑FOOTERS El FRONT ENTRY ❑EXTERIOR PERIMETER FOR RENEWAL YOTHE
TREATMENT TYPE
TAMP&TREAT ❑TREAT ONLY ❑FINAL ❑RETREAT ❑BORA CARE TREATMENT ❑TERMITE BAIT STATION
PRODUCT
6OMINION ❑A __ PREM ❑DEMON TC ❑TERMIDOR ❑BORACARE ❑OTHER
ACTIVE INGREDIENT
CONCENTRATION
C3.05% ❑.06% ,lTJ/.l% ❑.12% ❑.25% ❑OTHER GALLONS APPLIED ®/�R�IfTE S,, '
D R 9,`-<kx
SQUARE FOOTAGE 30n LINEAR FOOTAGE ® to ��®N
1 J /
- " 1
SQUARE FOOTAGE VERIFIED
�fES ❑NO ❑MEASURED OR VERIFIED PER PLANS ® e
•
JOB READY CONDITIONS MET
s
o�
SES ❑NO A S
SAFETY CONDITIONS
As per 2326.5 FBC-If soil chemical barrier method for termite prevention is used.Final exterior treatment shall be completed prior to final building approval.
Certificate of Compliance:The building has received a complete 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.(Per the Florida Building Code.)
If this notice is for the final exterior treatment,initial and date this line tTERMITE MONITOR INSTALLED ❑YES ❑NO)
FINAL STICKER
❑ELECTRICAL PANEL ❑WATER HEATER OTHER
Payment Terms: Customer's paymen . f is due at time ni al s e.Custo r agrees that a finance charge in the amount of 18%per annum will
be assessed on all unpaid balances at not satisfie y th du In the ent:collection process becomes necessary to recover an unpaid
balance t e foiiowi fees will b sse ed' luding t n i o: collec" n service fee,attorney's fee,finance charges and non-sufficient funds
PE! ent e� Cus ill be es p s for pa " g co ociated h any collection process.
Date pli Dilige Services)
Date us (. neror gen
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