HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITESTERM
TE PRETREAT SPECIALISTS E`
81-i.PRE■TRlEAT
F_D
800mDILIGENT
FAX 800-837-0311
znt- Lude County
`TermitePretreat.com
State License JB94495
l
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST PRE FENTION I LAWN & ORNAMENTAL CARE I TERMITE SERVICES I MOSQUITO ABATEMENT 1
RODENT & NUISANCE WIL IFE EXC SIO MOVAL
SERVICE RDER NUMBER
li
SERVICE DATE/—/ TIME
❑ SUNNY ❑ CLOUDY
DEVE O �IMENT NAME (P E�CT)
_7
CONTRA TO�R`'S NAME I
CONTACT PERSON
Ct"45
STRUCTI�RE ADDRESS (LOT/BLOC
:,?,
j /I CITY,.STAT 1;, Z ODE
COUNTY
C
CONTAC
PHONE NUMBER
NOTES
TREATME T TYPEIAREA
❑ FLOATIP G ❑ MONOLITHIC
❑ PATIO ❑ GARAGE ❑ DRIVEWAY
Li STEM WALL ❑ ADDITION
❑ CUTO
❑ FOOTERS
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL
❑ OTHER
EAT E
T TYP
❑ TAMP&I REAT ❑ TREAT ONLYAL
❑RETREAT ❑ BORA CARE TREATMENT
❑BAIT STATION
PRODUCT
❑ BASELI E PROBUILD TC
❑ DRAGNET ❑ DEMON TC ❑ TERMIDOR TC ❑ BORACARE
❑ OTHER
ACTIVE IN
REDIENT
CON E
❑
TI N
❑ l; [5
❑ ❑ ❑ OTHER GALLONS APPLIED
••..•...•
• • PF • ••
sr
.06%
.12%
i
.5% .23%
`pN .
i 0 Rq •C0%
SQUARE
DOTAGE
LINEAR FOOTAGE d�d�
�..0 �Z�
:,�_:0 .SFAT.
❑ YES
....�
❑ NO El MEASURED OR VERIFIED PER PLANS • � � � Q �� _ �
0 R..7
JOB REAK
CONDITIONS M ••• * •��
❑ YES
I ElNO DETAILS
SAFETY C
NDITIONS
.6 FBC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
As per 104�
Certificatelof
Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and
laws estab
fished by the Florida Department of Agriculture and Consume Services. (Per the Florida Building Code.)
Z — J `7
If this notic
is for the final exterior treatment, initial and date this line a (TERMITE MONITOR INSTALLED ❑ YES ❑ NO}
�I
FINAL STI
KER j
AL PANEL ❑ WATER HEATER OTHER '
❑ ELECTRI
Payment
erns: 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 assessi
d 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 t
following fees assessed including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
pa ment f
y
e. Customer will be r ponsible for paying all costs associated with any collection process.
Applicator (Diligent Lawn and Pest Control, Inc.) ' •
Customer (Property Owner or Agent)
ate
Date
ar800-DILIGENT
NMB 800Di11gentxom
CorporatE
3100 NW Boca Raton Blvd. I Suite 106 1 Boca Raton, Florida 33431 1 800.487.8190
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