HomeMy WebLinkAboutCERTIFICATE OF TERMITE TREATMENTBuilding
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MyDiligent.com
• ► • ; State License JB228623
Growing Together
Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)
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SERVICE ORDER, NUMBER 75 V 7 SERVICE DATE _. _94Q-4 TIME 1'9 • Gq WEATHER CONDITIONS tyral
DEVEtiOPMENT NA E ( ROJEC
CON CTOR'S NAME
CONTT PERSON
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STRUCTURE
ADDRESS (L T/BLOC )
CITY S TE, ZIP CODE COUNTY
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42
ZCC2 v�
CONTACT PHONE NUMBER
NOTES
ror:Areer•ur �nerA MCA
❑ FLOATING
❑ MONOLITHIC
❑ PATIO
❑ GGAAFJAGE ❑ DRIVEWAY
❑ STEM WALL ❑ ADDITION
❑ CUTOUTS
❑ FOOTERS
❑ FRONT ENTRY EXTERIOR PERIMETER FOR RENEWAL
❑ OTHER
TREATMENT TYPE
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RECENED
❑ TAMP & TREAT
El ONLY
Q],F(NAL
❑ RETREAT ❑ BORA CARE TREATMENT
ElTERMITE BAIT STATION
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APR 221919
PR
Permitting Department
OMINION
❑ ADONIS 2F
0 PREMISE
❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER ct. I ucle Countv
ACTIVE INGREDIENT
CONCENTRATION
0.05% 0.06%
.10
❑.12%
❑.25% ❑OTHER— GALLONS APPLIED
-VOL �•
��
0 H •�`/Ct
SQUARE FOOTAG�F
EL
.0
LINEAR FOOTAGE
" s',P,�
aQUAIIIE FOOTAGE VERIFIED
VES ❑ NO
JOB Dy CONDITION MET
YES ❑ NO
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
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r
Q I
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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 B ' ding Code.)
If this notice is for the final exterior treatment, initial and date this line �tt(TERMITE MONITOR INSTALLED 0 YES 0 NO)
FINAL STICKER
❑ 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 annum will
be assessed on all unpaid balances that are of satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the following fees will be assessed n luding but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
payment fee. Customer will be responsibl r qpg all costs associated with any collection process.
lJ
D e Applicator (D ' _ ervfces)
Date 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