HomeMy WebLinkAboutTermite Treatment TERMITE PRETREAT SPECIALL"Ili SL� _ i1 ;.__800=DILIGENT
MyDiligent.com
i • State License JB228623
AAt..otice of Preventative Treatment for Termites
(as required by Florida Building Code(FBC)2326.5 and Broward County Chapter FBC 105.2.2)
CONCRETE WASHOUT SERVICES TERMITE PROTECTION !! I PEST CONTROL MOSQUITO CONTROL RODENT CONTROL
SERVICE ORDER NUMBER SERVICE DATE l k V-1 7 TIME ® WEATHER CONDITIONS
DEVELOPMENT NAME(PROJECT) CONTRAWAME CONTACT P SON
Q QdC4 r—r_3'`� Cal ( &Y Lj
STRUCTURE ADDRES. (LOT/BLOCK CITY,STATE,ZIP CODE G UNTY
�t�elLescb�� �2 �T ��c 4�1q�!
CONTACT PHONE NUMBER NOTES
TREATAdNT TYPE/AREA
COATING ❑MONOLITHIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALL ❑ADDITION
❑CUTOUTS ❑FOOTERS ❑FRONT ENTRY ❑EXTERIOR PERIMETER FOR RENEWAL ❑OTHER
TREATMENT TYPE
❑TAMP&TREAT ❑TREAT ONLY �NAL ❑RETREAT ❑BORA CARE TREATMENT ❑TERMITE BAIT STATION
PRO
Q/OMINION ❑ADONIS 2F El PREMISE ❑DEMON TC �❑TERMIDOR ❑BORACARE ❑OTHER
G ACTIVE INGREDIENT
CONCENTRATION ..
��RM SFRL
❑.05% ❑.06% .1% ❑.12% ❑.25% ❑OTHER GALLONS APPLIED_� �� )TE •
e ®••P•.o lbR
SQUARE FOOTAGE � `'�`-' LINEAR FOOTAGE 1 (y-4,1�0
1 � i
/ 1
1
SQUA4 FOOTAGE VERIFIED i 1
YES ❑NO ❑MEASURED OR VERIFIED PER PLANS 1
i
OB EADY CONDITIONS MET
e •
o'
YES ❑NO DETAILS
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 14rmites.Treatment is in accordance with rules and
laws established by the Florida Department of Agriculture and Consumer Services.(Per the Florida Building C )
If this notice is for the final exterior treatment,initial and date this line ✓Tz TOR INSTALLED ❑YES ❑NO)
FINAL STICKER
❑ELECTRICAL PANEL TER HEATER OTHER
Payment Terms: Customer's payment in full is due at time of initial service.Gusto 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. I even a collection process becomes necessary to recover an unpaid
balance the following fees will be assessed includ' ntnotii ite collection rvice fee,attorney's fee,finance charges and non-sufficient funds
payment fee. Custom r will be responsi r paying all costs ciated wi collection process.
r(
Date Apphc�Diligent Sery
x
i
Date Customer(Property Owner or Agent)
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1-800-DILIGENT
-�=ERM1TE PRETREAT-SPECIALISTS
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Myo igent.com
' State License J13228623
IGEN
i TERMITE SERVICES
•Notice of Preventative Treatment'for Termites' -
(as required by Florida Building Code(FBC)2326.5 and-Browa d County Chapter FBC_I05.22)
PEST CONTROL I LAWN,QTRlEE&SHRUB CARE . t-= TERMITE PROTECTION • 1 MOSQUITO.CONTROL i RODENT CONTROL
SERVICE,ORDER NUMBER I J t l (� 0� I j r�� !
SERVICE DATE TIME " WEATHER CONDITIONS
DEVELOPMENT NAME(P OJRCT) CONTRACTOR'S NAME CONTACT PERS0�,1 o, t
l E i' � >C
STRUCTURE ADORES�LOT/BLOCIt7 `'' i ;STATE,ZIP CODE COUNTY
vt
CONTACT PHONE NUMBER NOTES
TREATMENT TYPE/AREA
❑FLOATING MONOI(THIC ❑PATIO ❑GARAGE ❑DRIVEWAY ❑STEM WALL 0 ADDITION
❑CUTOUTS ❑FOOTERS O FRONT ENTRY ❑EXTERIOR PERIMETER FOR RENEWAL ❑OWNER
. i
TREAT ENT TYPE i
A-TAMP&TREttT O TREAT ONLY CI FINAL ❑RETREAT O SORA CARE TREATMENT O TERMITE BAIT STATION ,
PRODUCT
1
DOMI `
NION 2L ❑ADONIS Fj�" D P� 75WPS ❑DEMON TC ❑TERMIDOR TC -° '❑BORACARE ❑OTHER j
ACTIVE INGREDIENT_ -!"�'
CONCENTRATION
❑,05% ❑.06% 1� ' ❑.72% ❑.25% ❑ATHER GALLONS APPLIED 1� e
$QU/�R�FOOTAACEE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED I
ES ❑NO ❑MEASURED OR VERIFIED PER PLANS
- / 1
• p p,.1 • e
OB READY CONDITIONS
❑NO . DETAI `�.�..•:
SAFETY C,tQNQIT10N3S
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 U YES ❑NO)
FINAL STICKER
ELECTRICAL PANEL cl WATER HEATER OTHER
Faymertit Terms: Customer's payment in full is due at time of initial service.Customer agrees that a finance charge in the amount of fs�o per annum will
(' be assessed on all unpaid balances that are not sa` . e due date. In the event a collection process becomes necessary to recover an un ocattf
1 'balance the following tees will be assessed inc ding but no f d to; collection service fee,attorneys tee,finance charges and non-sufficient funds
6° PaYmen flee, C tomer will be responsible r Zing all s elate it y coWe-ction process.
Z -Date Inc. t.
Applicator(Diligent Termite Pretreating, )
1 0►-DILIGENT
2e Customer(Property Owner or Agent)
Da El���tDrlligent.com
• 02 ZOIr ;
g Raton Blvd. I"Suite 714 1 Boca Raton,Fiorida�3431 I.7-800-DILIGENT °