HomeMy WebLinkAboutNOTICE OF PREVENTATIVE TREATMENT OF TERMITEM Dili ent.com
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TERMITE" ERVICES y g
='ti ` `NI _ ( • State License JB228623
Building together,' rowing Together �-
Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)
SERVICEIORDER NUMBER SERVICE DATE �( / ME �� 5-5 WEATHER CONDITIONS re �Jf
STRUCTURE ADDR�L / k0� CITY,/STATE, ZIP C COU
, 10a
CONTACT PHONE NUM ER NOTES
❑ FLOATING
❑ CUTOUTS
TREATMENT TYPE
❑ TAMP & TREAT
PRO_DUCT
�MINION
��/"`---/oACTIVE INGREDIENT
CONCENTRATION
,
❑ .05% ❑ .06%
SQUARE FOOTAGE
P
❑ TONOLITHIC ATIO
❑ FOOTERS ONT ENTRY
II
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL
❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER —
❑ ADDITION
ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
2F
TIC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
% ❑ .12% ❑ .25% ❑ OTHER
LINEAR FOOTAGE
NO ❑ MEASURED OR VERIFIED PER PLANS
NO DETAILS
r
GALLONS APPLIED
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 Comp dance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and
laws established by tie Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
If this notice is for th I final exterior treatment, initial and date this line {TERMITE MONITOR INSTALLED ❑YES ❑ NO}
FINAL STICKER �I
❑ ELECTRICAL PA EL ❑ WATER HEAT 9 OTHER
Payment Terms: ustomer's payment' f is due at ti of . iti servic Customer agrees that a finance charge in the amount of 18% per annum will
be assessed on all �npaid balances t e not satisf, d e e dat In the event a collection process becomes necessary to recover an unpaid
balance t follow I�g fees will be s sed includi of ' ited collection service fee, attorneys fee, finance charges and non -sufficient funds
payment e�! Sias o eq,W¢I be r Is nsible for ciated with any collection process.
Date/ ,i� pplicato itlgenS`�
I
Date i Customer (Property Owner or Agent)
ICorporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com
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M Dili ent.com
TERMITE SERVICES Y 9
° e State License JB228623
Building toget err Growing Together
Notice of Preventative Treatment for Termites-alt.1bume.cro—n'o,
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 10522)
,i
SERI ICE ORDER NU ill
ER SERVICE DATE ! TIME J 2 ! 6 ( WEATHER CONDITIONS
DEVELOPMENT NA E (PROJECT)
CONTRACTOR'S NAME
CONTACT PERSON
STRUCTURE A1D�'DR( SS (LOTBLOCi� CITY, STATE, ZIP CODE / COUNTY
I. v "iL
�t
CONTACT PHONE I4,IUMBER
NOTES
I
TREATMENT TYPE
❑ TAMP & TREAT
PRRODUCT
/❑ DOMINION
ACTIVE INGREDIEN
MONOLITHIC ❑ PATIO ❑ GGA GE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
FOOTERS ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
RECEIVE()
TREAT ONLY FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION DEC 17 7018
Pe►Mitting Depdrtmen•
St Lucie Count,,
❑ ADONIS 2F
TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
CONCENTRATIONIII o
d .05% ❑ .O6% .1% ❑ .12% ❑ 25% ❑ OTHER— GALLONS APPLIED— m� ;R�) I
OT G
EGG m 4 m
S UAR Ofi LINEAR FOOTAGE i?�s
I �
a
SAC U E FOOTAIE VERIFIED 4 B
� a
YES i ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
�I o m�ammoo
JOB EA CO DrT10NS MET
YES III ❑ NO DETAILS
I
SAFETY CONDITIONS \i' G'00
i
As per 2326.5 FBI - 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 f& the final exterior treatment, initial and date this line (TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
Il
O ELECTRICAL PANEL ❑ WATER HEATER OTHER
Payment Te ' Is: 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 o 11all unpaid balances that are not satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the fol owing 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 all,os associated with any collection process.
D`ate'�1' l I!l Applicator (Diligent Services)
Date III 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
zz
Building
SERVICE ORDER
FI LE Copj,4-10AHLICTENT,
MyDiligent. m
SERINCES"FOR State License JB228623
Growing Together - ��- 16i6K--5-6Z_
Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)
SERVICE DATE TIME WEATHER CONDITIONS 6Afal_
Spu 113, ADDRES (LOT/ LO K) \ / r
TAT , ZIP MODE / n, COUNTY
CONTACT PHONE NU ',B J NOTES
❑ FLOATING i
❑ CUTOUTS
R MENT TYPE
TAMP &TREAT
PRO•UCT
OMINION
ACTIVE INGREDIENT
I
CONCENTRATION
❑ .05% ❑ .06%
SQUARE FOOTAGE
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER—
❑ ADDITION
ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
ADONIS 2F ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
NO
.1 % ❑ .12% ❑ .25% ❑ OTHER
LINEAR FOOTAGE
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
GALLONS APPLIED
As per 2326.5 FBC - I soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
Certificate of Comp lance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and
laws established by t e Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
If tliis notice is for th 1lfinal exterior treatment, initial and date this line (TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
FINAL STICKER ,I
❑ ELECTRICAL PAN L ❑ WATER HEATER OTHER
Payment Terms: "'Us'
payment in ful 's due at time of initial service. Customer agrees that a finance charge in the amount of 18% per annum will
bed assessed on all unpaid balances that ar n t satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the follows g fees will be assesse i I mg but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
pa en fee. t' er will be responsibl or 8�y'ng all costs associated with any collection process.
RECEIVED
Dat Applicator ( ices) A
/ OCT 122010
Date �l Customer ( perty Owner f nt) Permitting Department
St, Lucie County
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida33431 1 1-800-DILIGENT I mydiligent.com