HomeMy WebLinkAboutNotice of Preventative Treatment for Termites03/08/2007 11:38 5617" —882 r �� 7� ,' PAGE 01
TERMITE PRETREAT SPECIALISTS y,1
OOMILIGEN'T
> 800-837-83
TerlmitePretreat.lECEI
State License JMW95
Notice of Preventative Treatment for Termites MAR 7
(as required by Florida Building Code (FBC) 104.2.6 and 13roWard County Chapter FBC 105.2,2)
PEST PREVENTION 1 LAWN A ORNAMENTAL CARE I TERMITE SERVICES i
SERVICE ORDER NUMBER SERVICE DATE —
DEVELOPMENT NAME (PROJECT)
STRUCTURE ADDRESS (LOTIBL,OCK)
=eo �,
CONTACT PHONE NUMBER NOTES
ABATEMENT I RODENT & NUISANCE iNILD QZ;l) /�1
ZE ,' WEATHER COND71ONS— ! �.
CITY, STATE, ZIP CODE
�PFJ�
G FLOATING OI MONOLITHIC 13 PATIO ❑ GARAGE O DRIVEWAY
o CUTOUTS 13 FOOTERS a FRONT ENTRY O EXTERIOR PERIMETER FOR RENEWAL
TREATMENJIM
0 TAMP & TREAT ❑TREAT ONLY
NAL ❑ RETREAT O I3ORA CARE TREAMENT
CONTACT PERSON •
COUNTY
i] STEM WALL O ADDITION
❑ OTHER — ---
0BArr61AT10N ®1 .
qR
ROBUILD TO Li DRAGNET ❑ DEMON TC 0 TERMIDOR TC O SORACARE 0 OTHER St, LA46ii �
ACTIVE,INGREDIENT
Ij za% ❑ OTHER GALLONS APPLIED _— 1
SQUAREFOp�g�g ll1yEABF9l��AS$1;-- '� � .
Isau
D YES 0 NO '"MEASURED OR VERIFIED PER PLANS
JOB 14FJ10� CONbmnryg MET
O NO DETWLS —_.
Asper 1042.5 Fee - If loll.chemical baffler method for termite prevention Is used. Final exterior treatment shall be completed prior to flnal building approval.
Cwtificate of Compliance: The bUllding has received a complete treatment for the prevention of subterranean termites, Treatment Is in accordance with rules and
laws aatabliahed by the Florida Department of Agriculture and Consumer Services. (Per liho Fibmels Sullding Code,)
If this notice is for the final exterior treatment, Initial and date this Ilna ._ _ r "� (TERMITE MONITOR INSTALLED I] YES (3 NO)
EINALOCKEH k
0 ELECTRICAL PANr;L "*'�ATER HEATER OTHER— --
Payment Terms: Customer's psyrnent In full Is due at thhe of Inl4al service. Customer agrees that a finance charge in the amount of is% per annum will
be asseaavd on all unpsld balances that are not satisfied by the due date, in ins event a coilectlen process becomes necessary to roomer an unpaid
balance the following fees win be esaessed Including but not limited to: collection service fee, atfomey's Mb- finance chm— and non-sutrlalent
palrm9 t fee, Omer will be responsible for paying all cam associated.with any collection process.
date If Applicator (Diligent Environmental Servi�cos, lnc.,
Dsbe Cuatemer (Property Owner or Agent)
Corporate 3100 NW Boca Baton Blvd, I Suite 106 1 Boca Raton, Florida 33431 1 800.487.8190 S�tlD>fligen#•com
TERMITE PRE -TREAT SPE=' ISTS
1-866-PRE-TREN
FAX 800-837-8311
/91-'-`�`• DiligentFL.com
-S State License JB94495
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6, 1816 and Broward County Chapter FBC 105.2.2)
Service Date G - Z - 61,C Time
Lot > _7 Block
Section
Builder 159 1--
Shell Subcontractor
Development Name/Project IPC--r Treatment Type/Area
Structure Address J �! M 1-3 Floating ❑
City Cnty Garage ❑
Owner
Notes
Addition ❑
Monolithic Patio ❑
Driveway ❑ Stem Wall ❑
Cutouts ❑ Footers ❑
Front Entry ❑ Other
Treatment/Product Detail RECEIVED
Tamp &Treat 01--*,Treat Only ❑ JUN 0 5 2006
Treatment Type: Initial Under Slab Retreat ❑ Final ❑
$Y: G
Product: Dursban TC ❑ Dragnet ❑ Demon TC ❑ Probuild TC 0' Other ❑
Concentration: 11jr250/, ❑ .5% ❑ 1.0% ❑ Other
Square Footage: 6 /
Gallons Applied: e8'Z
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. ``%1`111 t 111111i
:� NMEN r,� /,,
If this notice is for the final exterior treatment, initial and date this line J� �•oRpORgl •s+•�
-
�; G �•:Q dv
Applicator (�;� Date Z- 2-04 w ; ` —
rye
Customer Signature e 1.14 :• ••.� '
ORID
3100 Northwest Boca Raton Boulevard Suite 106 • Boca Raton, FL 33431 •800-487-8190 • Toll Free:1-866-PRE-TR : is $87-0�1
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