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HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITES� d ®/L/BEN TERMITE SERVICES I Building together, Growing Together ' 3, 4 5 4 4 3 6 Diligent.com �� pzvee License JB228623 ;� 91 w1A f hunt, Notice of Preventative Treatment for Termites (as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2) ®eryn I 1906 SERVICE ORDER NUMBER l/ SERVICE DATE TIME L WEATHER CONDITIONS Df�VELQPhEN ^N,QM(PROJECT) � CONT RfaCTQR'S NAME � CON© ERSON I STUUCTURE ADDRESS (L T/ LOCK) CITY, STA�TTE, ZIP CODE COUNTY 'r).4ATZ_'A _ i a- fC l? /,`11 f I�cL�, �� l� 2 SL I S11 CONTACT PHONE NUMBER NOTES g q Jf ©o g 4>' ,Ili C T ATMENT TYPE/AREA ❑ FLOATING ❑ MONOLITHIC &PATIO ❑ GARAGE DRIVEWAY ❑ STEM WALL ❑ ADDITIO ❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL �R ' r�� TREATMENT TYPE kR/❑ TAMP & TREAT /EAT ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION ®C CFlL� PRO T ❑ DOMINION ❑ ADONIS 2F ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER CAPgPA. ACTIVE INGREDIENT CONCENTRATION C� ❑ .05% ❑ .06% \21.1 0 ❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED SQUARE FOOTAGE �� LINEAR FOOTAGE S UAAE FOOTAGE VERIFIED ES ❑ NO JOB ADY CONDITIONS MET YES ❑ NO SAFETY CONDITIONS ❑ MEASURED OR VERIFIED PER PLANS 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. 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 FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER {TERMITE MONITOR INSTALLED ❑ YES ❑ NO} 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 t atisfied by the due date. In the event a collection process becomes necessary to recover an unpaid balance the following fees will be assessed i gi ding but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds pay me /ee. stomer will be responsible & [ng all costs associated with any collection process. Date `/ Applicator (vir, ervices) Date Customer (Property Owner or Agent) Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com 1=860=DILIGENT MyDiligent.com TERMITE SERVICES • • State License JB228623 • M • Building together, Growing Together Notice of Preventative Treatment for Termites f'�6-/!-5 (as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2) SERVICE ORDER NUMBER O SERVICE DATE TIME V '72 WEATHER CONDITIONS DEVELO MENT N E (PROJ CT) CONTRACTO 'S NAME CONTACT PERSON STRUCTURE ADDRESS (LOT/BLOCK) (1 U CITY, STATE, ZIP CODE COUNTY I CONTACT�� \� rp�ONE NUMBER/v NOTES J v TREATMENT TYPE/AREA I im Q�(� ❑ FLOATING Ja1 f0NOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION ❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER TREATMENT TYPE TAMP & TREAT ❑ TREAT ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION PRODUCT OMINION ❑ ADONIS 2F ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER ACTIVE INGREDIENT CONCENTRATION ❑ .05% ❑ .06% 1 % ❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED SQUARE FOOTAGE LINEAR FOOTAGE SQUARE FOOTAGE VERIFIED Ala-yr:8 ❑ NO ❑ MEASURED OR VERIFIED PER PLANS JOB 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 Services. (Per the Florida Building Code.) If this notice is for the final exterior treatment, initial and date this line FINAL STICKER ❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER {TERMITE MONITOR INSTALLED ❑ YES ❑ NO) Payment Terns: 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 ash ssed including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds a ment fee. Customer will be res o sible for paying all costs associated with any collect. process: Dat Applicator (Dilig t 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 I mydiligent.com