HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESTERMITE PRETREAT SPECIAL' -'_5 TV,F 00=DILIGENT
MyDiligent.com
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BY� � State License JB228623
Coco l SCENNE®
otice of Preventative Treatment for Termites StUde County
(as required by Florida Building Code (FBC) 2326.5 and Broward County Chapter FBC 105.2.2)
PEST CONTROL I LAWN, TREE & SHRUB CARE I TERMITE PROTECTION MOSQUITO CONTROL I RODENT CONTROL
SERVICE ORDER NUMBER �/ ® SERVICE DATE TIME r v WEATHER CONDITIONS
I
D LOPMENT NAME (PROJECT) (• CON RACTOR'S NAME CONTACT PERSON
rA �j ��] a
STRUCTURE ADDRESS (LOT/BLOCK) _gITY TAT , ZIP CODE COUNTY
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CONTACT PHONE NUMBER NOTES
- OL
TREATMENT TYPE/AREA
I
❑ FLOATING 1 ❑ NOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
TREATMENT TYPE
❑ TAMP & TREAT
i
PRODUCT
9 DOMINION 2
ACTIVE INGREDIENT
CONCENTRATION
❑ .05% ❑ .06%
V'EATNLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
A/ONIS2F ❑ PREMISE 75WPS ❑ DEMON TC ❑ TERMIDOR TC ❑ BORACARE ❑ OTHER .
O'1 % ❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED r J
SQUARE FOOTAGE°) LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
I
ES ❑ NO
JO READY CONDITIONS MET
YES ❑ NO
SAFETY CONDITIONS
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
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 Services. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line (TERMITE MONITOR INSTALLED ❑ YES ❑ NO)
FINAL STICKER
❑ ELECTRICAL I PANEL ❑ WATER HEATER OTHER
Payment Terms: Customer's payment in full is du 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 s 'fled by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the following fees will be assessed mcl but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
p yment fee Custo er will be responsible for a i g II costs associated with any collection process.
/A .
Date Applicator (Dilig�n� 6e n ilnc.)
Date
Customer
1-800-DILIGENT
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT
MyDiligent.com
TERMITErRETREAT SPECIALISTS _ � � � - / `-80!�.DILIGENT
MyDiligent.com
r0ii,IGENA. State License JB228623
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 2326.5 and Broward County Chapter FBC 105.2.2)
PEST CONTROL I LAWN, TREE & SHRUB CARE I TERMITE PROTECTION I MOSQUITO CONTROL I LANDSCAPE SERVICES
SERVICE ORDER NUMBER 166056 SERVICE DATE 08/30/2017 TIME 08:00 am WEATHER CONDITIONS Clear
' DEVELOPME T NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
Tarpon FI is - Lot 7 Structural Bldg Components I Clay
-STRUCTURE ADDRESS (LOT/BLOCK CITY, STATE, ZIP CODE COUNTY
3913 Sho eside Drive Fort Pierce FL 34949 Saint Lucie
CONTACT PHONE NUMBER NOTES
954,-531-1403 Exterior perimeter for renewal and final
❑ FLOATING ❑ MONOLITHIC
❑ CUTOUTS r " ❑ FOOTERS
TREATMENT TYPE
❑ TAMP & TREAT ❑ TREAT ONLY
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ FRONT ENTRY OEXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
PRODUCT
*DOMINIQN 2L ❑ ADONIS 2F ❑ PREMISE 75WPS ❑ DEMON TC ❑ TERMIDOR TC ❑ SORACARE ❑ OTHER
ACTIVE INGREDIENT Imidacloprid
I
I
CONCENTRATION
0.05% 0I.06% 0.1 % ❑ .12% ❑ .25% ❑ OTHER GALLONS APPLIED $0 ®®A%gi�'��
m
SQUARE FOOTAGE 2,500 LINEAR FOOTAGE_
I
SQUARE FOO' A- GE VERIFIED
YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
YES ❑ NO DETAILS
SAFETY CONDITIONS Good conditions
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As per 2326.5 FPC - If soil chemical barrier method for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
Certificate of Clompliance: 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 AB 08/30/2017 {TERMITE MONITOR INSTALLED ❑YES ❑ NO}
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
Payment Terris: 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 o� 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 fee. Customer will be responsible for paying all costs associated with any collection process.
08/30120171 4Q� o� /j d
Date Applicator (Diligent Termite Pretreating, Inc.)
g 30 �n -�S 1=800=DILIGENT
Date Customer (P operty Owwnerror or Agent))
MyDiligent.com
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT