HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENT - 2-18-19ZIGE
Building together, Growing Together
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M # State License JB228623
FILE
CODv
Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)
SERVICE ORDER NUMBER / 7�Z9 41 SERVICE DATE � � TIME ice` 41 WEATHER CONDI IONS�_LY� �=
DEVELOPMENT
NAME (PROJECT)
G G?r '
CONTRACTOR'S NAME
CONTACT PERSON
STRUCTURI
ADDRESS (LOT/BLOCK)
CITY, STATE, ZIP CODE COUNTY
CONTACT PHONE
NUMBER
NOTES65-1
/�
'f��{ .L-
❑ FLOATING ❑ MONOLITHIC ❑ PATIO
❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL
"R10R PERIMETER FOR RENEWAL ❑ OTHER —
❑ ADDITION
TREATMENTS TYPE
TEAT
1
0
❑ TAMP & ❑ TREAT ONLY
PdFINAL
❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
PRO
`Y�
pUCT
C"
b44QMINION ❑ ADONIS 2F
❑ PREMISE
❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION
o ++++o
i S�cR •°
❑ .05% ❑ .06%
❑ .12%
❑ .25% ❑ OTHER— GALLONS APPLIED �fL�()��
��YYii
e i P P0 R
SQUAREFOOT_GE J/.l�f✓
LINEAR FOOTAGE s ('1�® C A
ARE FVERIFIED
AS ❑ NO
e
ffr-F4 R
Qe o
❑ MEASURED OR VERIFIED PER P 19
oEIVEDo °° °°0
++-a�� i
JOB READY CONOITIONS MET
bA�S. I ❑ NO
DETAILS
0
FEB q +++-+`•'"
e n t
As per 2326.5 FBC - If soil chemical banter method for termite prevention is used Flnal.e7ctetio r1Lii �e C pef[}ptEited �rpr to nal building approval.
/ I L
Certificate o I Compliance: The building has received a complete treatment for the prevention of su errane rmites �r 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 IM .r l %cam {TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
❑ ELECTRICAL PANEL WATER HEATER OTHER
Payment Terms-. Custome payment in II 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 following fees will be assessed including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
payment feel Customer lithe stble for paying all costs associated with any collection process.
Date Applicator (Diligent Services)
Da a Customer (Property Owner or Agent)
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydtligentoom