HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITESTERMITE PRETREAT SPECIA . 'is �`E
1 _00 Ds�.eCNT
MyDiligent.com
tot_State License JB228623
otice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 2326.5 and Broward County Chapter FBC 105.2.2)
PEST CONTROL I LAW TREE & RUB CARE I TERMITE PWTECTION �CPSQUITO
D N CONT CONTROL I ROL
f r
SERVICE ORDER NUMBERSERVICE DATE ` TIME WEATHER CONDITIONS
D VELOP ENT NAME (P ECT) I NTRACTOR'S NAME C 4ITACT PERSON
CI
STRUCTUREta P , L
A DRESS (LOT/BLOCK / CISTATE, ZIP E C /
1 i n (vo OAA A � _� 1�jr�f I�rj)rrP PL S
COCT PHONE NUMBER O NQTE y
TREATMENT tYPE/AWEA1l
❑ FLOATING MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
TREATMENT TYPE
MP & TREAT
PRODUCT
'IOMINION 2L
MINION
INGREDIENT
❑ TREAT ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
❑ ADONIS 2F ❑'PREMISE 75WPS ❑ DEMON TC ❑ TERMIDOR TC ❑ BORACARE ❑ OTHER .
CONCENTRATION
❑ .05% ❑ .06% ❑ .12% ❑ 25% ❑ OTHER _
In n,\(
SQUARE FOOTAGE LINEAR FOOTAGE
UARE FOOTAGE VERIFIED
YES ❑ NO
JOB READY CONDITIONS MET
❑Y El NO
SAFETY CONDITIONS
❑ MEASURED OR VERIFIED PER PLANS
r
GALLONS APPLIED
As per 2326.5 FBC - If soil chemical barrr"ethod 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 WAT R HEATER OTHER _
(TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
Payment Terns: Customer' pay7th
nt in full is due at time of initial service. Customer agrees that a fii
be assessed on all unpaid ba anceat are not satisfied by the due date. In the event a collection r-W
balance the following fees wi I beessed includiqg but not limited to: collection service f , orney
p ym t e. mer will r ponsibl for yi g all costs associated with any c ction process.
Da a Ap ator iligent Termite B ptrea g, Inc.
Date
Owner or
nye-charge in the amount of 18% per annum will
ss becomes necessary to recover an unpaid
fee, finance charges and non -sufficient funds
1-800-DILIGENT
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