HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TERMITE TREATMENT00� 7 /—
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TEE SERVICES
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MyDiligent.com
-0 tate License JB228623
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ISCAN�,U Notice of Preventative Treatment for Termites
U(,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
i
WEATHER CONDITIONS
DEVE P NAME ( O EC
CONTRACTOR'S NAME
CONTACT PERSON
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S RUCTU E ADDRESS (L T/B OCK)
CAST TE, ZIP CODE
COUNTY
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t r l
64
CONTACT PHONE NUMBER
NOT
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TREATMENT TYPE/AREA
❑ FLOATING Cl MONOLITHIC
❑ PATIO ❑ GARAGE ❑ DRIVEWAY
❑ STW WALL e ❑ ADDITION
VTHER 4YILZ\WJ
❑ CUTOUTS ❑ FOOTERS
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL
TRENKMENT TYPE
TAMP & TREAT ❑ TREAT ONLY
❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT
❑ TERMITE BAIT STATION
PRO CT
OMINION ❑ ADONIS 2F
❑ PREMISE Cl DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ .05% ❑ .06% el ❑ .12% ❑ .25% ❑ OTHER _
SQUARE FOOTAGE �(� LINEAR FOOTAGE
SQUAdE FOOTAGE VERIFIED
ES ❑ NO
OB READY
CONDITIONS MET
VSEl
SAFETY CONDITIONS
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
GALLONS APPLIED J;�!5
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
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 areAt satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the following fees will be assessedlinftding but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
pay7ee ee. ?u�, er will be responsibl 'paying all costs associated with any collection process.
r /
Applicafor (Ipltl0!AtServices)
Date Custome/(Woperty Owner or Agent)
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com
�TERMITE PRETREAT SPECIALISTS"M
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MyDiligent.com
D/L/CEN State License JB228623
TERMITE SERVICES
Notice 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 I TERMITE PROTECTION I PEST.CONTROL I MOSQUITO CONTROL I RODENT CONTROL
SERVICE ORDER NUMBER t SERVICE DATE ` TIME ° O WEATHER CONDITIONS
,n
:VEL/O�PMENNTT NAME (PROJECT)
CONTACT PHONE NUMBER
'7'
TREATMENT TYPE/AR/EA .'j"
❑ FLOATING /L] MONOLITHI(
❑ CUTOUTS ❑ FOOTERS
TREATMENT TYPE �^ h
AMP & TREAT ❑ TREAT ONLY
II:
CONTRACTOR'S_ NAME
NOTES
❑ PATIO
❑ FRONT ENTRY
PCITY, STATE, ZIP CODE
n�xJC 9 U Z
CONTACT PERSON
/ COUNTY
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL
❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER—
❑ ADDITION
❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
PRODUCT
Q'DOMINION ❑ ADONIS ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
ACTIVE INGREDIENT j��LL111\\\L
i
CONCENTRATION ,�� ----
❑ .05% O .06% y1 .1 % ❑ .12% ❑ .25% ElOTHER GALLONS APPLIED ,�i ji)TE
SQUARE FOOTAGE ` t' LINEAR FOOTAGE r ' O ,�• N
® _j
SQUARE FOOTAGE VERIFIED
O ;
f
/f_ YES ! ❑ NO ❑ MEASURED OR VERIFIED PER PLANS �, s
'� •; O R \ •
JOB READY CONDITIONS MET
❑ YES ❑ NNOO\ DETAILS
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 ❑ W1 TER HEATER OTHER
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 �p assessed including but not limited -to: collection service fee, attorney's fee, finance charges and non -sufficient funds
m nt fee. Customer will esponsible aying all cost associated with ahi collection process.
Date Appli for (Diligen rvices)
Date Customer (Property Owner or Agent)
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT