HomeMy WebLinkAboutPREVENTATIVE TERMITE TREATMENT 2-18-19........ ...... ....... ... ...... _.......
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Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.22)Et
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DER NUMBER ��,L�� SERVICE DATE 1-- � r11 9 TIME 12•' 60 WEATHER CO DIITIONSAQ2;f! � ,
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NT NAME (PROJECT) 2.611—
CONTRACTOR'S NAME
CONTACT PERSON
27
STRUCTUR
ADDRESS (LOT/BLOCIn CITY, STATE, ZIP CODE COUNTY
CONTACT HONE NUMBER
NOTES
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❑ FLOATING' O MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY EXTERIOR PERIMETER FOR RENEWAL O OTHER
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❑ TAMP &
❑ .05%
❑ TREAT ONLY FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
O ADONIS 2F O PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
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SAFETY COLITfONS/� a
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 ol I Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules and
laws establist ied by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
If this notice i for the final exterior treatment, Initial and date this line (TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
ON
.06% 5 ❑ .12% ❑ 25% ❑OTHER — GALLONS APPLIED
/..� LINEAR FOOTAGE
❑ NO ❑ MEASURED OR VERIFIED PER PLANS
❑ ELECTRIC PANEL � VATER HEATER OTHER
Payment Te r s: 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 i °Allowing 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 respon a for paying all costs associated with any collection process.
Da a Applicator Services)
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Date k Customer (Property Owner or Agent)
Corporate $500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Rodda 3=1 1 1-800-DILIGENT I mydiligentcom