HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITESSCANN
TERMITE PRETREAT SPECIALIST' BY
St Lucie
meTERMITE
Notice of PreventativeTreatment for Termites
(as required by Florida Building Code (FBC) 2326.5 and Broward County Chapter FBC 105.2.2)
10'2;,00=01LIGENT
MyDiligent.com
State License JB228623
FDS- a)J a
CONCRETE WASHOUT SERVICES �j TERMITE PROTECTION PEST CONTROL MOSQUITO CONTROL RODENT CONTROL
I ID
SERVICE ORDER NUMBER `� SERVICE DATE 1 TIME I WEATHER CONDITIONS
;=AMNE (PROJECT) �( COT CTO 'S NAME CONTACT PERSOfJr
STRUCTURE ADDREEgSJ((LLO'T/BL I� I CITY, STATE, ZIP CODE J COUNTY
'55os
CONTACT PHONE NUMBER NOTES
f�.n A j_ c/ 1 Ian r n.
TREATMENT TYPE/AREA
❑ FLOATING MONOLITHIC
❑ CUTOUTS ❑ FOOTERS
❑ PATIO ❑ GARAGE
❑ FRONT ENTRY ❑ EXTERIOR
❑ DRIVEWAY ❑ STEM WALL
FER FOR RENEWAL ❑ OTHER—
❑ ADDITION
TREATMENT TYPE
AMP & TREAT ❑ TREAT ONLY ❑ FINAL ❑ RETREAT ❑ B RA CARE TREATMENT ❑ TERMITE BAIT STATION
PRODUCT
DOMINION ❑ /DONIS 2 El PREMISE ❑ DEMON TC Li TERMIDOR ❑ BORACARE ❑ OTHER
ACTIVE INGREDIENT/IN1
CONCENTRATION
❑ .05% ❑ .06% _ .1% ❑ .12% ❑ .25% ❑ OTHER
SQUARE FOOTAGE _ L ��}� LINEAR FOOTAG
SQUARE FOOTAGE VERIFIED
B"YES ❑ NO ❑ MEASURED OR VERIFIED PER
JOB READY CONDITIONS MET
;]'YES ❑ NO DETAILS
As per 2326.5 FBC - If soil chemical barrier method for termite prevention is used. Fi
Certificate of Compliance: The building has received a complete treatment for the I
laws established by the Florida Department of Agriculture and Consumer Services. (F
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
Payment Terms: Customer's payment in full is due at time of initial service. Ct
be assessed on all unpaid balances that are not satisfied by the due date. In th
balance the following fees will be a0essed including but not limited to: collect
p yment fee. Customer will be rspponsible for paying all c sts associated with
Date Applicator (Di Services)
Date Customer (Property Owner or Agent)
GALLONS APPLIED �a
exterior treatment shall be completed prior to final building approval.
fention of subterranean termites. Treatment is in accordance with rules and
the Florida Building Code.)
(TERMITE MONITOR INSTALLED ❑ YES ❑ NO}
tomer agrees that a finance charge in the amount of 18% per annum will
event a collection process becomes necessary to recover an unpaid
n service fee, attorney's fee, finance charges and non -sufficient funds
nv collection process.
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Floridg 33431 1 1-800-DILIGENT