HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITESGENt��o ;; MyDiligent.com
�E SERV/CES State License JB228623
Building together, Growing Together SCANNED
Notice of Preventative Treatment for Termites BY
I(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)�f- Lucie C0LO*
SERVICE ORDER NUMBER � SERVICE DATE /� l TIME WEATHER CONDITIONS
CONTRACTOR'S NAME
CONTACT
STRUCTURE ADDRESS (OT/BLOC CITY, STATE, ZIP CODE COUNTY
CONTACT PHONE NUMBER NOTES
ElFLOATING
ElCUTOUTS
TREATMENT TYP
j
O i
TAMP & ,TREAT
PRODUCT
OMINION
,ACTIVE INN' REDIEIN
MONOLITHIC
❑ FOOTERS
ElTREAT ONLY
E
❑ PATIO
❑ FRONT ENTRY
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL
❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER—
❑ ADDITION
❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
0 AA PNIs � ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
❑ .05% �1 " ❑ .06% .1% ❑ .12% ❑ .25% ❑ OTHER
SQUAREIFOOTAGE 1 VLINEAR FOOTAGE `
S UARE FOOTAGE VERIFIED
g�fES 'I ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
❑ NO _ t A DETAILS
GALLONS APPLIED
—
it
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.
I1
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}
❑ 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 unpaidAbalas that are not satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the following feesassessed includ' a limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
payment fee. Customer wsponsible for paNdqall costs assoc with any collection process.
TN
Date Applicator (Dil ent Services)
i
Datei Customer (Property Owner or Agent)
i
i
ill Corporate 3500 NW Boca Raton Blvd. Suite 714,.1 Boca.Raton :'Florida 33431 1-800-DILIGENT mydiligent.com
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D/L/CEN
TERMITE SERVICES
Building together, Growing Together
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3145 4 43 60 ij
of Preventative Treatment for Termites
DEELPMEFNAE PROJECT) CONTRACTORS NAME NTACT PERS�NOI,_ I
MyDil'igent.com
State License JB228623
STRUCTURE, ADDRESS (LOT/BLOCK)
CITY, STATE, ZIP CODE COUNTY
53 oaA
C.v,
CONTACT PHONE NUMBER
NOTES
TREATMENT TYPE/AREA
❑ FLOATING:'/d MONOLITHIC
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ CUTOUTS , ❑ FOOTERS
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
TREATMENT TYPE
I
AMP & TREAT
PRODUCT . j
19`DOMINION
ACTIVE INGREDIEN'
❑ TREAT ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
❑ ADONIS F ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
CONCENTRATION
❑ .05% II ❑ .06% ❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED
I!
.I
SQUARE FOOTAGE i % LINEAR FOOTAGE
u
XES II ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
YES !I ❑ NO - /-\ DETAILS
I
I
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.
if
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 !potice is for the final exterior treatment, initial and date this line (TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
FINA i STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
ij
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 balance 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 ssessed not
but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
payment fee. Customer will be s onsible for paying ion -process.
14 6i.
Date Applicator (Dilige t Se ' e
Date Customer (Prjfperty Owner or Agent)
ICorporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com
ZIGEA
1-800—DsLsGEsur
Building Together, Growing Together giAm III—.- - J
I
Notice of Preventative Treatment for Termites
I
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)
MyClI igent.com
State License JB228623
I
168036 11 /07/2018 Clear
SERVICE ORDER NUMBER SERVICE DATE TIME 08:00 am WEATHER CONDITIONS
it
DEVELOPI+ E' NT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
Oakland Lake - Lot 10 Shell Systems, Inc. John
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE, ZIP CODE COUNTY
5356 Oakland Lake Circle, Fort Pierce, FL 34951 Saint Lucie
CONTACT PHONE NUMBER NOTES
561-98.8-2117 1 Exterior perimeter for renewal and final
F
❑ TAMP &
ODOM
ACTIVE
❑ MONOLITHIC ❑ PATIO
❑ FOOTERS ❑ FRONT ENTRY
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL
EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER—
❑ ADDITION
❑ TREAT ONLY • FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
❑ ADONIS 2F ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
Imidacloprid
❑ .05% Pl ❑ .06% 0.1 % ❑ .12% ❑ .25% ❑ OTHER
LINEAR FOOTAGE 186
OYES jj ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
RECEIVED
NOV. 0. 8 7010
Perml. tong Department
St. Lucie County
m®o®m®m�4
' a
� a /
eq�0 R
*YES j,l ❑ NO DETAILS
hl
SAFETYICONDITIONS Good conditions
1'l
As per 2 I26.5 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 noltice is for the final exterior treatment, initial and date this line EC 11 /07/2018 (TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
GALLONS APPLIED 74
❑ 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
balanclthe following fees will be assessed including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
payment fee. Customer will be responsible for paying II costs associated with any collection process.
11 /0�/2018 �y
Date Applicator iligent Services)
Date I I Customer (Property Owner or Agent)
I I
!'l 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com