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Notice of Preventative Treatment for Termites I AUG 0 9 Z006
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(as required by Florida Building Code (FBC) 104.2.6, 1816 and Broward County Chapter:F4Jò"~
FAX 800-837 -8311
DiligentFL.com
State License
Service Date
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Time
Builder D~ V ~
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Lot
Block
Section
Shell Subcontractor
Development Name/Project
Structure Address S:-q to
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City
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Treatment Type/Area
Floating 0 Monolithic 0 Patio 0
Garage 0 Driveway 0 Stem Wall 0
Addition 0 Cutouts 0 Footers 0
Cnty
Owner
Notes
Front Entry 0 Other
TreatmenVProduct Detail
Tamp & Treat 0 Treat Only 0
Treatment Type: Initial Under Slab ~ Retreat 0 Final 0
Product: Probuild TC r/L.. Dragnet 0 Demon TC 0 Termidor TC 0 Other 0
Concentration: 0 .25% ~5% 0 1.0% 0 Other Gallons Applied: 10 0
Square Footage: \ L( J lJlJO Linear Footage:
As per 104.2.6 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: This building has been treated in accordance with the rules and laws established by the Florida Department of
Agriculture and Consumer Services. Further, the treatment complies with the Florida Building Code. \ \ \ , , . J , , I f II
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If this notice is for the f~· I exterior treatment, initial and date this line .. _ ¿ ~~..·oV.POR~·... ~ ~
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Applicator ~Y'-- D Date D - 0 - DO : 1.&1 ! L \ ~ :
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3100 Northwest Boca Raton Boulevard Suite 106. Boca Raton, FL 33431 · 800-487-8190· Toll Free 1-800-DlLlGE~"'.1Iitãtm-ggr ,~
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Environmental Services
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FAX 800-837-8311
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Notice of Preventative Treatment for Termites Uf)¡ [;J-r.
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
TERMITE PRETREAT SPECII
DILIGENT
PEST PREVENTION I LAWN & ORNAMENTAL CARE I TERMITE SERVICES I MOSQUITO ABATEMENT
RODENT & NUISANCE WilDLIFE EXCLUSION & REMOVAL
SERVICE ORDER NUMBER
SERVICE DATE ¡-,I. ð'
TIME
WEATHER CONDTIONS
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DEVELOPMENT NAME (PROJECT)
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STRUCTURE ADDRESS (LOT/BLOCK)
CITY, STATE, ZIP CODE
COUN1Y
CONTACT PHONE NUMBER
NOTES
TREATMENT TYPE/AREA
o FLOATING
(J CUTOUTS
o MONOUTHIC
a FOOTERS
o PATIO
o FRONT ENTRY
o GARAGE
o DRIVEWAY
D STEM WALL
o ADDITION
a EXTERIOR PERIMETER FOR RENEWAL 0 OTHER
TREATMENT TYPE
a TAMP & TREAT 0 TREAT ONLY
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o RETREAT
o BORA CARE TREAMENT
o BAIT STATION
%~LD TC
o DRAGNET
a DEMON TC
o TERMIDOR TC
o BORACARE
o OTHER
ACTIVE INGREDIENT
~TION
.25% 0 .5%
o .23%
o OTHER-
GALLONS APPLIED
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SQUARE FOOTAGE .
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UNEAR FOOTAGE
~E FOOTAGE VER'FII;D
ES 0 NO
o MEASURED OR VERIFIED PER PLANS
~"( CONDITIONS ~ET
ES 0 NO
DETAILS
SAFETY CONDITIONS
As per 104.2.6 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
{TERMITE MONITOR INSTALLED 0 YES 0 NO}
FINAL STICKER
Q ELECTRICAL PANEL
o WATER HEATER
OTHER
Payment Tenns: Customer's payment in full is due at time of initial service. Customer agrees that a finance charge in the amount of 18% per annum will
be assessed on all unpaid balances that are not satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the following fees will be assessed including but not limited to: collection service fee, attorney's fee, finance charges and non-sufficient funds
payment fee. Customer will be responsible for paying all costs associated with any collection process.
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NAHB
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800-DILIGENT
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Corporate 3100 NW Boca Raton Blvd. I Suite 106 I Boca Raton, Florida 33431 I 800.487.8190
,St. Lucie County R EC E IVED
Building & Zoning Department
2300 Virginia A venue DEC 2 9 2006
Fort Pierce, FL 34982
772-462-2165
Fax 772-462-6443
Public Works
St~ t-ucie County, FL
Request for 30-Day Temporary Power Release r OSTED
Date: D¿Ld~_ ð Þ Permit Number: S¿C o~03 -oÝ/2
Property Address: Se¡ / ~ s-- () S'. I
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE
ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR
THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above stated purpose only,
and there will be no occupancy of any type, other than that permitted by construction
during this time period.
2. As witness by our signatures, we hereby agree to abide by all terms and conditions
of this agreement, including Building Division Policy, which is incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled
"Requirements for 30 Day Power for Testing" have been fulfilled and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be made in writing to the Building Official stating the reason
for the request. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspection
has not been approved within 30 days. A fee of $100.00 will be required to lift the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND
THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE
WHICH MA Y ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING
ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF
ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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