HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITESTERMITE PRETREAT SPECIALIST&&_�
0iTERMiTtSERVICES
1"'�,-30=01LIGENT
SCANNED
BY
MyDiligent.com
State License JB228623
Notice of Preventative Treatment WNW
(as required by Florida Building Code (FBC) 2326.5 and Broward County Chapter FBC 105.2.2)
CONCRETE WASHOUT SERVICES I TERMITE PROTECTION PEST CONTROL MOSQUITO CONTROL RODENT CONTROL
SERVICE ORDER NUMBER v SERVICE DATE 0 1 TIME WEATHER CONDITIONS
DEVELOPMENT NA (P OJECT) O TRA OR'S NAME CONTACT ERSON
'STRUCTURE ADDRESS (LOT/BLOCK) n
✓ V-Y STATE, ZIP CODE COUNTY
✓hv��lll lJ4/V I A �LA1q 51
CONTACT PHONE NUMBER NOTES
TREATMENT TYPE/AREA
❑ FLOATING MONOLITHIC
❑ CUTOUTS ❑ FOOTERS
TREATMENT TYPE
�TA�MP & TREAT ❑ TREAT ONLY
PRODUCT
❑ DOMINION ❑
ACTIVE INGREDIENT
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❑ PATIO ❑ GARAGE ❑ DRIVEWAY
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL
❑ FINAL ❑ RETREAT
❑ PREMISE ❑ DEMON TC
❑ STEM WALL ❑ ADDITION
❑ OTHER
❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
❑ TERMIDOR ❑ BORACARE ❑ OTHER .
CONCENTRATION I
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/
❑ .05% O .06% 'O .1 % O .12% ❑ .25% ❑ OTHER GALLONS APPLIED
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SQUARE FOOTAGE LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
r ' ES ❑ NO
JOB READY CONDITIONS MET
16 YES ❑ NO
❑ MEASURED OR VERIFIED PiR PLANS
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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.
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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.)
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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
be assessed on all unpaid balances that are not satisfied by the due
balance the following fees will be aslessed including but not limited
payment fee. Customer will be re risible for paying all costs_asse
lice. Customer agrees that a finance charge in the amount of 18% per annum will
>. In the event a collection process becomes necessary to recover an unpaid
collection service fee, attorney's fee, finance charges and non -sufficient funds
adwitha _ lection-process:— -
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Date I Aaa icator (Dilicae Services)
Date Customer (Property Owner or Agent)
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Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT