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HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TERMITE TREATMENTTERMITE PRETREAT SPECIALISTS i, 1 w00=DILIG��T MyDiligent:com' State License JB228623 TERMITE SERVICES Notice of Preventative Treatment for Termites j (as required by Florida Building Code (FBC) 2326.5 and Broward County Chapter FBC 105.2.2) CONCRETE WASHOUT SERVICES I TERMITE PROTECTION SERVICE ORDER NUMBER SERVICE DATE NAME PEST CONTROL I MOSQUITO.CONTROL ( RODENT CONTROL ITIME WEATHER CONDITIONS CONTACT PERSON STRUCTURE Af_rAADDRESS T/BLA�itwO7 (.i%L , ��� � _,� ^ ` ' n STAB, ZIP��CODE COUNTY CONTACT PHONE NUfv1BER, � NOTES TREATMENT TYPE/AREA El FLOATING -❑ MONOLITHIC ❑ CUTOUTS ❑ FOOTERS TREATMENT TYPE UrTAMP & TREAT ❑ TREAT ONLY ❑ PATIO ❑ FRONT ENTRY ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION PRODUCT lt! DOMINION ❑.AB NIS 2F ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER ACTIVE INGREDIENT CONCENTRATION ❑ .05% ❑ .06% Q % ❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED SQUARE FOOTAGE. 1�,LINEAR FOOTAGE_ I SQUARE FOOTAGE VERIFIED Z YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS JOB READY CONDITIONS MET ❑ YES ❑ NO A l l DETAILS SAFETY CONDITIONS ems'- ® ••• • ITE` O R �• �� ° e � p � t 0% R \ 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 ❑ WATER 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 be ;Asessed including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds ayment fee. Customer will be onsible for paying all costs associated with a collection process. Date plicator (Dilig Services) Date Customer (Property Owner or Agent) Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT �00=DILIGE 11T LiTilInt.com TITE SERVICES • • ' (j��" stcB228623 • ' • 4DO �r` f.•�V Building together, Growing Together Notice of Preventative Treatment for Termites (as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2) SERVICE ORDER NUMBER SERVICE DATE TIME / WEATHER CONDITIONS ADDRESS (LOT/BiOCK) ! / !, o ' / CITY-STA;'E. ZIP CODE 4 t — - . — COUNTY NOTES L Ok ❑ FLOATING ❑ MONOLITHIC ❑ PATIO 6 GARAGE DRIVEWAY ❑t STEM WALL I ElADDITI N f� ❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY ElEXTERIOR PERIMETER FOR RENEWAL U{XJTHERj2� ►.1 . d THE MENT TYPE TAMP & TREAT ❑ TREAT ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION kRO@6CT DOMINION ❑ ADONIS 2F ❑ PREMISE ❑ DEMON TC , ❑ TERMIDOR ❑ BORACARE ❑ OTHERS ACTIVE INGREDIENT CONCENTRATION ❑ .05% ❑ .06% % ❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED SQUARE FOOTAGE / .� LINEAR FOOTAGE RE FOOTAGE VERIFIED ES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS JO 4RDY CONDITIONS MET YES ❑ NO DETAILS SAFETY CONDITIONS I ' L'/ A. 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 l FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER - Payment Terms: Customer's payment be assessed on all unpaid balances th balance the following fees will be ass m nt fee. tomer will be respo s to Applicat {TERMITE MONITOR INSTALLED ❑ YES ❑ NO) is due at time of initial service. Customer agrees that a finance charge in the amount of 18% per annum will of satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid -luding but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds r paying all costs associated with any collection process. Services) Date CustonibAlPjoperty Owner or Agent) Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com