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HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT FOR TERMITES1 14" `O=DILIGENT EN ti M Dili ent.com ► ERU/CES • State License JB228623 • • BY Building ogether, Growing Together �� � �4­ 002— Notice of Preventative Treatment for Termites (as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2) /0 SERVICE ORD R NUMBER " SERVICE DATE y TIME y WEATHER CONDITIONS Ljn4 DEVELOPME T ME JPRO ECT) / CONTRACTOR'S NAME C(�y.TACT ERSON .ems DGLif.� STRUCTURE DDRES (LOT/BLOCK) n� �:bTY TATErDDZ,,IP CODE COUNTY CONTACT P ONE NU R NOTES .�� . Vey T EATMENT TAPE/AREA ❑ FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE VRIVEWAY ❑ STEM WALL ❑ ADDITION ❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER TREATMENT II PE EITAMP&TREA[T TREAT ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION PRODUCT ❑ DOMINION EVDONIS 2F ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER ACTIVE INGREDIENT CONCENTRATION ❑ .05% ❑ 06% .1 % ❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED SQUARE FOOT GE / LINEAR FOOTAGE ■ 0• ❑ NO ❑ MEASURED OR VERIFIED PER PLANS DETAILS As per 2326.5 F C - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval. Certificate of C I mpliance: 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 fct the final exterior treatment, initial and date this line (TERMITE MONITOR INSTALLED ❑ YES ❑ NO) ❑ ELECTRICAL P NEL ❑ WATER HEATER OTHER Payment Term : 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 oni II unpaid balances that are not sati 'ed y the due date. In the event a collection process becomes necessary to recover an unpaid balance the following fees will be assessed includi g b of limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds pay nt ee. CuI o er will be responsible for pa i sts associated with any collection process. Datw pplicator (Dili ge i , s) 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 r 0 ZIGENi- e0e"-00c)-Z_ Buildidg together, Growing Together 7- )O=DILIGENT Notice of Preventative Treatment for Termites (as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105 ? 2) MyDiligent.com State License JR228623 2 i 14 j ! s^ L0 0-1 WEATHER CONDITIONS SERVICE 0� DER NUMBER SERVICE DATE �L TIME t DEVELO/P ENT NAME(PRO1JErC.T)� CONTRACTOR'S NAME CONTACT PERSON STRUCTU "1 E ADDRESS (LOTBLOCK) rZ fi r Ire N 1� CITY, STATE, ZIP CODE - COUNTY �v [ ! f d 17 ! - I _Zf CONTACT HONE NUMBER NOTES / '/� (' D FLOATlN ❑ MONOLITHIC ❑ PATIO ❑ G�AARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION O CUTOUT D FOOTERS ❑ FRONT ENTRY ,' d 1'ERIOR PERIMETER FOR RENEWAL ❑ OTHER ' RFCEIVFp T�tE THE i TYPE EAT ❑TREAT ONLY _//RNAL' ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION c pLk /tt1)4Ucip ng ❑ TAMP & T PR UC7 D0MIN OO ACTIVE ING , EDIENT ❑ ADONIS 2F (14 tf f ❑ PREMISE+. f ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER . i '(U 1` (� I CONCENT710N t.-•- o®a �40 . ❑ .05% ❑ .06°/a 1% ❑ .12% ❑ .25% D OTHER __ GALLONS APPLIED1� o° �� �80A ®a,. o SQUARE TALE LINEAR FOOTAGE s �®o R ® "1 ®p r a ` o M6ARE F T GE VERIFIED s 0 YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS e READ CONDITIONS MET ❑ YES I ❑ NO DETAILS SAFETY COINDITION (') 0 0 0 As per 2326 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 establis ed 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) FINAL STIC` ER ❑ ELECTRIC L PANEL ❑ WATER HEATER OTHER Payment T ms: 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 assess 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 llowing fees will be assessed including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds paymerrt!ee Cusomer wll be responsible for p ing qU c associated with any collection process. Date I Applicator (Diligent 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