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