HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITESSCANNED 1490=DILIGENTtot
M Dili ent.com
Y J _ DOLOGIENT FORState License J6228623
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 11Q TIME WEATHER CONDITIONS
DEVELOP NT NA E (PROJECT) n CONTR CTOR'S NAME CO TACT PERSON
o/ J1 C
STL3UCTURE ADDR SS (LOT/ L CK) CITY ST TE, ZIP CODE COUNTY
CONNTA TPHONNEENUMBERR NOTEIL
/Y_O%1 l S
/ I ( L 111 �N►�U: r� �/� t7 %tLT/M n. /�
TREATMENT TYPE/AREA
❑ FLOATING ❑ MONOLITHIC
❑ CUTOUTS ❑ FOOTERS
TREATMENT TYPE
❑ TAMP & TREAT ❑ TREAT ONLY
PRODUCT
�ON
ACTIVE INGREDIENT
CONCENTRATION
❑ .05% ❑ .06%
❑ PATIO GARA ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ FRONT ENTRY ERIOR PERIMETER FOR RENEWAL ❑ OTHER RECENED
VINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
permitting Department
St. Lucie County
❑ ADONIS 2F ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
Vim.❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGEr LINEAR FOOTAGE_
r
.S t7ARE FOOTAGE VERIFIED
YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
DID/READY CONDITIONS MET
YES ❑ NO DETAILS
SAFETY CONDITIONS
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 Sery s. (Pe the Florid . uilding 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 tisfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the following fees will be assessed inc �n t not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
pa me if e. tomer will be responsible fo a g a I costs associated with an ollection process.
ate t Applicator ( i i e ices)
i
Date Customer (Pro Owne st t)
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com