HomeMy WebLinkAboutCERTIFICATION OF TERMITE TREATMENT - 1-23-1900
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(TERMITE SERVICES CALL DILIGENT FORState License JB228623
Building together, Growing Together
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 - SERVICE DATE / TIME WEATHER CONDITIONS
DEVELOPMENT NA E (PROJEC CONTRACTOR'S NAME CONTACT PERSON
STRICTURE ADDRESS (LOT/BL)CK ` CITY TA E, ZIP CODE 2 COUNTY S,
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Ca9NT/AC/T PHONE
%NUM ER NOTES / St Lucie
❑ FLOATING ❑ MONOLITHIC ❑ PATIO
❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY
TREATMENT TYPE
❑ TAMP & TREAT Cl TREAT ONLY
INAL
i
PRODUCT
OMINION ❑ ADONIS 2F
❑ PREMISE
ACTIVE INGREDIENT
❑ GARAk�GE ❑ DRIVEWAY ❑ STEM WALL
EC RIOR PERIMETER FOR RENEWAL ❑ OTHER—
❑ ADDITION
❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER .
CONCENTRATION
❑ .05% ❑ .06% Q .1 %/ % ❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE (/\. /J / LINEAR FOOTAGE
S dRE FOOTAGE VERIFIED
YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
OB ADY CONDITIONS MET
•' ��t11TE SFR .�
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Woo N
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YES ❑ NO DETAILS
SAFETY CONDITIONS
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 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 Servi es. (P the Flori ilding Code.)
If this notice is for the final exterior treatment, initial and date this line (TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
FINAL STICKERi
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
Payment Terms: Customer's payment in fu 's 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 ar no satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the following fees will be assess din ding but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
pa ent fee. Cu tomer will be responsi le eying all costs associated with any collection process.
to Applicator ( nt Services)
Date I 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