HomeMy WebLinkAboutPREVENTATIVE TERMITE TREATMENT CERTIFICATE 2-18-19�- — —
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0&71 17800=DILIGENT
SERVICES EN d yDiligent.com
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Building together, Growing Together
Notice of Preventative Treatment for Termites
(as required by Florida Building Code 23265 and Broward County Chapter FBC 105.2.2)
SERVICE iRDER NUMBER ��i SERVICE DATE �'� TIME '-', WEATHER CONDITIONS�r''
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
I STRUCTURE ADDRESS (LOT/SLOCKj CITY, STATE, ZIP CODE COUNTY I
I
PHONE NUMBER I NOTES
i : / d4'%lti 11
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GARAGE ❑ DRIVEWAY
❑ STEM WALL ❑ ADDITION
❑ U CUTOT i
❑FOOTERS
❑ FRONT ENTRY IOR PERIMETER FOR RENEWAL
❑ OTHER
SCANNED
TREATMENTTYPE
❑ TAMP & TREAT
❑ TREAT ONLY
KINAL
❑ RETREAT ❑ BORA CARE TREATMENT
❑ TERMITE BAIT STATION �+y
/vOunt'/
Lucie County
is
PRODUCT
-�OMINION
❑ ADONIS 2F
Cl PREMISE
❑ DEMON TO ❑ TERMIDOR ❑ BORACARE ❑ OTHER
ACTIVE INGREDIENT
110fl —
CONCENTRATION /""" ••.•---e-
❑ .05% I ❑ .06% Oyu fro ❑ .12% ❑ .25% ❑ OTHER — GALLONS APPLIED ®'`��21�tT� S(.•��
•••m-e �c
s e��o ? P O
SQUARE FOOTAGE LINEAR FOOTAGE ��o O aoe N e
a
SQUARE FOOTAGE VERIFIED e 0
❑ YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS e s
�JOB RECONDITIONSMET o°a � •om
iU`� I ❑ NO D
ETAILS �' Q o ®' • • •
SAFETY CONDITIONS1
As per 2328. FBC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed priorto final building approval.
Certificate ofl 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 INSTALLS ❑ YB@tCD p NO)
FINAL STICKER
❑ ELECTRICAL PANEL ATER 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 o 1 A pprinurtl�rill
be assessed on all unpaid balances that are not satisfied by the due date. In the event a collection process becomes necessary tore a pa
balance the following fees will be assessed including but not limited to: collection service fee, attorney's fee, finance charges and no -s��R it tunas
payme t fee i Customer will be risible for paying all costs associated with any collection process. CD ►�
Date Applicator (Diligent Services) c _ NO
M1
Da
Customer (Property Owner or Agent)
00 ca
3
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 I 1-800-DIUGENT I myd