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TERM/TE SERVICES • • - State License JB228623
Building together, Growing Together
��asJd3�3 Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)
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SERVICE ORDER NUMBER SERVICE DATE ( TIME WEATHER CONDITIONS �-
EiELOPMENT R JECT) NT TOR' ty1E 'len
I CONTACT PERSON
l/
U ADDR S(LOT/B TA �` STAZIP CODE
6 tA_'_)
NE NUNIBE OTES
5-
TR NT TYPE/AREA
]❑FLOATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY El STEM WALL El ADDITION
CUTOUTS ❑FOOTERS El FRONT ENTRY ❑EXTERIOR PERIMETER FOR RENEWAL El OTHER
TREATMENT TYPE
❑TAMP&TREAT EAT ONLY ❑FINAL ❑RETREAT ❑BORA CARE TREATMENT ❑TERMITE BAIT STATION
PRODUCT
�OMINION ❑� P Ejv1 Sl'E� ❑DEMON TC ❑TERMIDOR ❑BORACARE ❑OTHER
(ACTIVE INGREDIENTS i/
CONCENTRATION
❑.05% ❑.06% ❑.12% ❑.25% ❑OTHER GALLONS API �\k01TE SFR°
V 1%
P C R 9®°�fn♦
SQUARE FOOTAGE LINEAR FOOTAGE e VV o
� J
SQUARE FOOTAGE VERIFIED
YES ❑NO ❑MEASURED OR VERIFIED PER PLANS a
t
%
JOB READY CONDITIONS MET °♦a ®•®
YES ❑NO C
SAFETY CONDITIONS ��Iqad_
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 {TERMITE MONITOR INSTALLED ❑YES ❑NO)
FINAL STICKER
❑ELECTRICAL PANEL ❑WATER HEATER OTHER
Payment Terms: Customer's payment i II i ue at time o ' i ial s .Cu mer agrees that a finance charge in the amount of 18%per annum will
be assessed on al unpaid balances t are of satisfied a d�u In event a collection process becomes necessary to recover an unpaid
bVlancehe folio,
olio ing fees will be sess including of 1. 1 a o: c� ction service fee,attorney's fee,finance charges and non-sufficient funds
/fe C o nwill be resp I with any collection process.
�
Date Applicator if
Date Customer(Property Owner or Agent)
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com