HomeMy WebLinkAbout07020397
Lawn and Pest Control
Publl
Stò-'Lu e COunty, FL
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866·PRE. TREAT
aOO-DILIGENT
FAX 800-837-0311
TermitePretreat.com
State License JB94495
TERMITE PRETREAT SPECIALISTS
DILIGENT
RECEIVED
JUN ~ø 2001
PEST PREVENTION I
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
RODENT & NUISANCE WILDLIFE EXCLUSION & REMOVAL
T TIME
o SUNNY
o CLOUDY
SERVICE ORDER NUMBER
DEVELOPMENT NAME (PROJECT)
CONTACT PERSON
CONTACT PHONE NUMBER
Cln: STATE, Zl~ CC)DE
~L- :3VtÎn
COUNTY
TREATMENT TYPE/AREA
o FLOATING 0 MONOLITHIC
o CUTOUTS
o FOOTERS
o PATIO
o FRONT ENTRY
o GARAGE 0 DRIVEWAY 0 STEM WALL 0 ADDITION
o EXTERIOR PERIMETER FOR RENEWAL )€OTI-lER '?~ ~
TREATMENT TYPE
o TAMP & TREAT «TREAT ONLY
o FINAL
o RETREAT
o BORA CARE TREATMENT
o BAIT STATION
~ C~' .:j.
PRODUCT
o BASEUNE ~ROBUILD TC
ACTIVE INGREDIENT
Q DRAGNET
I:) DEMON TC
a TERMIDOR TC
Q BORACARE
a OTHER_
CONCENTRATION
a .06%
I:) .12%
k25%
tì~
Q.5%
a .23%
a OTHER_
GAlLONS APPUED
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... ÑD PE,s ....
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: ~...~ " 0 " 4f ...~..
: .....¡ I 0 .... \ :;..\ \
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- ~. ~ 0 .. S".
- ~..' 0 R \ ...t).
-. v·.......... ..
-. -
-. ~ ..-
...........
SQUARE FOOTAGE
UNEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
DYES
DNO
a MEASURED OR VERIFIED PER PLANS
JOB READY CONDmONS MET
DYES
DNO
DETAILS
SAFETY CONDmONS
As per 104.2.6 FBC - If soil chemical barrier method for tennite 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
{TERMITE MONITOR INSTALLED 0 YES 0 NO}
FINAL STICKER
o ELECTRICAL PANEL
a WATER HEATER
OTHER
due at time of initial service. Customer agrees that a finance charge in the amount of 18% per annum will
led by the due date. In the event a collection process becomes necessary to recover an unpaid
i but not limited to: collection service fee, attorney's fee, finance charges and non-sufficient funds
In all costs associated with any collection process.
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NAHB
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800-DILIGENT
800Diligent.com
Customer (Property Owner or Agent)
Date
Corporate 3100 NW Boca Raton Blvd. I Suite 106 I Boca Raton, Florida 33431 I 800.487.8190
FlêCê,\lêQ
JUN 2 0 ~ I
CERTIFICATE OF ,TERMITE TREATMENT · .-- .~~
CONSTRUCTION SOIL. TRE. A Tl\1E.. NT J" LOcie co:~~
I "Y, f:l
JOB ADDRESS . QC{Jt (_~~ ) e '
St Lucie County Inspections
2300 Virginia Avenue
Ft Pierce, FL 34982
(772) 462-2172
o 7 C-;:) ,-D /) qi
PERMIT #
BUILDER
~~aÐ
PEST CONTROL CONTRACTOR DILIGENT ENVIRONMENTAL SERVICES, INC.
PEST CONTROL LICENSE # JB 9 449 5
We, the undersigned, hereby certify that we have pretreated the above-described construction for
subterranean termites in accordance with the standards of the National Pest Control As~ociation.
Square feet of area treated: }':1-
Percentage of solution: .. ? ç- ,
Chemicals used: ~Á) M ~j
Total gallons used: Z[)
Date of treatment:
Time of Treatment:
o Footing
o 1 st Treatment
o Re~treat
D' Slãb-
D 1 st Treatment
ORe-treat
o Driveway
, 0 1 st Treatment
ORe-treat
o Pools
D 1 st Treatment
~ D Re-treat
[Ó~Other ycxi1
~st Treatment
ORe-treat
o Perimeter for Final Inspection
FBCI04.2.6 Certifica~e 0/ Protective Treatment/or prevention oftennites.
A weather resžstant jobsite posting board shall be provided to receive
h duplicate Treatment Certificates.as.each required protective. treatment is
completed, providing a copy for the person the pennit is issued to and
another copy for·the building permit files. The Treatment Certificate shall
provide the product used, identity of the applièator, time and date of the
treatment, site location, area treated, chemical used, percent concentration
and number of gallons used, to establish a verifiable record ofprotective
treatment. .lfthe soil chemical barrier method/or termite prevention is used,
final exterior treatment shall be completed prior to final building approval.
St Lucie County requires for the final inspection for CO, a Permanent
Sticker to be placed on the electrical panel box cover, listing all the
treatments and dates of applications. .
NOTE:
There must be a completed form for each required treatment or re-treatment and thisfonn must be on
the job site to be picked up by the inspector at time of each inspection or the scheduled inspection will
fail and a re-inspection fee charged.
Signature of extermin~tor
Revised 6/13/02 dmg