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HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TERMITE TREATMENT00� 7 /— IGENz- ITERM TEE SERVICES Building together, Growing Together "i ')O=DILIGENT MyDiligent.com -0 tate License JB228623 � oJ�Y/ 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) ' SERVICE ORDER NUMBER SERVICE DATE TIME i WEATHER CONDITIONS DEVE P NAME ( O EC CONTRACTOR'S NAME CONTACT PERSON //CC�� -Svc" S RUCTU E ADDRESS (L T/B OCK) CAST TE, ZIP CODE COUNTY 5b ao t r l 64 CONTACT PHONE NUMBER NOT )� 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 i -s�.o-�s�s�.��T 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