HomeMy WebLinkAboutCERTIFICATION OF TERMITE TREATMENT - 10-12-18ZIGEA
Building] together, Growing Together
CALL DILIGENT FOR
CONCRETE WASHOUT!
Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105=)
MyEli igent-com
State License JB228623
SERVICE ORDER NUMBER SERVICE DATE ` �a a TIME WEATHERCONDO]ONS
_t
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
L. h
STRUCTURE ADDRESS (LOTBLOCK) CrTY,;STATE, ZIP CODE COUNTY
CONTACT PHONE NUMBER NOTES
S B p ��
TREATMENTTYPE/AREA r'uc/e rm
❑ FLOATING X]MONOLrrHic '❑PATIO !❑,GARAGE 111DRIVEWAY l❑BTEMIWALL i]ADDITION_V(jptl,
❑ CUTOUTS ❑ FOOTERS 10 FRONT ENTRY ID EXTERIOR(PERIMETERlFOR!RENEWAL !BOTHER 33
TREATMENT TYPE
RAMP&TREAT ❑TREATONLY ILIFINAL 113RETREAT 1❑iBORACARE IREATMENT I❑TERMITEIBACfSTAMON
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PRODUCT
DOMINION i ❑ ADONIS 2F El PREMISE �} ❑' DEMON IC i❑IERMIDOR ❑IBORACARE ��OTHER
ACTIVE INGREDIENT f I M C16 ply � l/
CONCENTRATION }
❑ .05% ❑O .06% _1 % ❑ 12% ❑ _25% ❑ OTHER. GALLONS:APPLIED
SQUARE FOOTAGE LINEAR FOOTAGE
S AREFOOT AGE VERIFIED
YES ❑ NO
J READY CONDITIONS MET
YES 1 ❑ NO
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
SAFETY CONDITIONS
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Asper 2326.5 FBC -If soil chemical barrier method for termite prevention its used. Final exterior treatment shall be,completeri pdor to final!building,approval_
Certificate of Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment its iin accordancwWith,rulesand
laws established by the Florida Department of Agriculture and Consumer Services. !(Perthe (Florida Building Code?)
If this notice is for the final exterior treatment, initial and date this line
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FINAL STICKER
{TERMITEiMONITORIINSTALLED I❑p ,YES i01N0}
❑ ELECTRICAL PANEL ❑ WATER 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 of 18% per annrm will
be assessed on all unpaid balances that are not satisfied by the due date. In the event a collection process becomes necessary toaecoveraniunpaid
balance the following fees will be assessed including but not limited to: collection service fee, attorney's fee, fmance,charges and.non-sufficilentfunds
paym nt fe . Customer will be responsible for payin all costs associated with any collection process. RECEIVED
1
Date Applicator (Diligent ervices OCT 1 2 2010
Permitting Depgrtm@nt
at Customer (5peoe5019er or Agent) St, Wde CwntV
Corporate 3500 NW Boca Raton Blvd. [ Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT![ myd6gentcom