HomeMy WebLinkAboutNotice of Preventative Treatment for TermitesTERMITE PRETREAT SPECIALIST`;'
-. -L,866-PRE-TREAT
1-800-487-8190
Dr'�IGEN ,r fAX 5gent.c-3760
MyDiligent.cam
TERMITE SERVICES State License JB145875
Notice of Preventative Treatment for Termites �5v.5 %
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2) v
PEST CONTROL LAWN, TREE & SHRU13 CARE i TERMITE PROTECTION MOSQUITO CONTROL I LANDSCAPE SERVICES
SERVICE ORDER NUMBER 1` 1 ca u' SERVICE DATE TIME WEATHER CONDITIONS CbCul-
DEVELOPMENT NAME (PROJECT) ONTRACTOR'S NAME . CONTACT PERSON
Axcw vckk-'&(S
STRUCTURE ADDRESS (LOT BLOCK) n CITY, STATE, ZIP CODE COUNTY
CONTACT PHONE NUMBER NOTES
TREATMENT TYPE/AREA
❑ FLOATING I40 MONOLITHIC
❑CUTOUTS ❑ FOOTERS
TREATMENT TYPE
IQ TAMP & TREAT ❑ TREAT ONLY
PRODUCT
❑ BASE LINE &490NIS 2F
ACTIVE INGREDIENT WY-1 sf
CONCENTRATION
C3,05010 ❑ .06% &1 %
❑ PATIO ❑ GARAGE 0 DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
FINAL p RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
75WSP ❑ DEMON TC ❑ TERMIDOR TC, ❑ BORACARE ❑ OTHER
❑ .12% ❑ 125% ❑ OTHER GALLONS APPLIED.
SQUARE FOOTAGE aq ``\ LINEAgF00JA!at;_
SQUARE FOOTAGE VERIFIED
0 YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
(B)YES ❑ NO DETAILS
'SaEML0M=M aonrj
IJ
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
FINAL,$TICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
(TERMITE MONITOR INSTALLED ❑ YES O'NO)
Payment Terms: 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 sessed includi t not limited to: collection service fee, attorneys fee, finance charges'and non -sufficient funds
paym nt fee. Customer will re naible for
paying all sts associated with any collection process.
1O
Date A licator'(Dif nt Termite Pretreating, Inc.)
Date Customer (Property Owner or Agent)
dbL
je ;r� 1-800-487-8190
NAM MyDitigent.coim
Corporate 3500 NW Boca Raton Blvd. I Suite 714 Boca Raton, Florida 33431 1 800.487.8190
TERMITE PRETREAT SPECIALISTS
D/L/CEN
TERMITE SERVICES
-89--PRE-TREAT
1-800-487-8190
FAX 561-394-3760
j / MyDiligent.com
( 'D d O v 7 State License JB145875
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST CONTROL I LAWN, TREE& SHRUB CARE I TERMITE PROTECTION I MOSQUITO CONTROL LANDSCAPE SERVICES
SERVICE ORDER NUMBER /D�l_ SERVICE DATE TIME //l WEATHER CONDITIONS
DEVELOPMENT
CONTACT PHONE NUMBER
D I CONTRACTOR'S
NOTES
CITY, STATE, ZIP CODE
CONTACT PERSON
TREATMENT TYPE/AREA
❑ FL TING ❑ MONOLITHIC ❑ PATIO., ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
TREATMENT TYPE
❑ TAW, P.° & TREAT &TREAT ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
PRODUCT
❑ BASE LINE ADONIS 2F ❑ ADONIS 75WSP ❑ DEMON TC ❑ TERMIDOR TC ❑ BORACARE ❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ .05% ❑ .06% % ❑ .12% ❑i.25% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE �/ LINEAR FOOTAGE
S U E FOOTAGE VERIFIED
YES- ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
JO&4EAIDY CONDITIONS MET
YES ❑ 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
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
(TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
Payment Terms: 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 includi ot limited to: c Ilaction service fee, attorney's fee, finance charges and non -sufficient funds
payme 1eee.. C � tom ill be responsible f ayin (cos associ ed with any collection process.
ate Applicat6 lie mite Pretrea , nc.)
Date Customer (Property Owner or Agent)
- ? „� IA 1-800-487-8190
MyDiligentxom
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 800.487.8190
TERMITE PRETREAT SPECIALISM tr
oet'�EN
TERMITE SERVICES
. 866-PRE-TREAT
1-800-487-8190
FAX 561-394-3760
=11igent.com
State License JB145875
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST CONTROL I LAWN, TREE & SHRUB CARE i TERMITE PROTECTION MOSQUITO CONTROL I LANDSCAPE SERVICES
SERVICE ORDER NUMBER a )'� NL (` SERVICE DATE 1 ,5 TIME ' "QM WEATHER CONDITIONS CLCUL
DEVELOPMENT NAME (PROJECT) ONTRACTOR'S NAMEti �III�CS
CONTACT PERSON
owd � t.c
STRUCTURE ADDRESS (LOT BLOCK) CITY, STATE, ZIP CODE COUNTY
r CO. 34cii4Sv LU
us -
CONTACT PHONE NUMBER NOTES
�- q�
TREATMENT TYPE/AREA I
❑ FLOATING MONOLITHIC 0 PATIO 0 GARAGE 0 DRIVEWAY 0 STEM WALL 0 ADDITION
O CUTOUTS 0 FOOTERS 0 FRONT ENTRY 0 EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
TREATMENT TYPE
19 TAMP & TREAT 0 TREAT ONLY 0 FINAL 0 RETREAT 0 BORA CARE TREATMENT ❑ TERMITE BAIT STATION
PRODUCT
0 BASE LINE �k9ONIS.2F
ACTIVE INGREDIENT Vn"
CONCENTRATION
75WSP ❑ DEMON TO 0 TERMIDOR TO 0 BORACARE O OTHER
0 .05% ❑ .06% 6i1 % 0 .12% 0.25% 0 OTHER
SQUARE FOOTA9 _t` .pl "\ LINEAR FOOTAGE_
SQUARE FOOTAGE VERIFIED
e YES ❑ NO
JOB READY CONDITIONS MET
OYES ❑ NO
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
GALLONS APPLIED !
_SSAAF_ETY OONDITIONS
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
FlNAL�^TIC,KER
❑ ELECTRICAL PANEL 0 WATER HEATER OTHER
(TERMITE MONITOR INSTALLED ❑ YES 0 NO)
Payment Terms: 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 ssessed including_bi�payinq
not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
paypm ht fee. Customer willVonsibrsts associated with any collection process.
Date icatof plligent Termite Pretreating, inc.)
Date Customer (Property Owner or Agent)
'° � .0,��Y.�� irk � � 1-�0®-4�7-8190
MyClifigent.com
Corporate 3500 NW Boca Raton Blvd. I Suite 714 ji Boca Raton, Florida 33431 1 800.487.8190