HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATESq*iii
Building Together, Growing Together
1-800=01LIGENT
Notice of Preventative Treatment for Termites
MyDiligent.com
State License JB228623
(as required by Florida Budding Code 2326.5 and Brovurd County Chapter FBC 105.22)
SERVICE ORDER NUMBER 169186 SERVICEDATE 05/21/2019 TIME 08:00 am WEATHER CONDITIONS Clear
DEVELOPMEIITNAME(PROJECT CONTRACTOR'S NAME CONTACT PERSON
Oakland Lake - Lot 40 Shell Systems, Inc. Don
STRUCTURE ADDRESS (LOT/BLGCIQ CITY, STATE, ZIP CODE COUNTY
5361 Oakland Lake Circle, Fort Pierce, FL 34951 St. Lucie
CONTACT PHONE NUMBER NOTES BY/
561-988-2' Exterior perimeter for renewal and final CI1 I .. _:LJ_ 1^^,
O FLOATING ❑ MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY O STEM WALL ❑ ADDITION
❑ CUTOUTS ❑ FOOTERS ❑ FRONT ENTRY GOCTERIOR PERIMETER FOR RENEWAL 0 OTHER
R
TREATMENT TYPE
TAMP B.TREAT ❑TREATONLY El �
FINAL ❑REMEAT BORA CARE TREATMENT TERMITE BAIT STATION 10 q` �(
❑2 Q
Se
PRODUCT �G10Q00. ,9
*DOMINION ❑ ADONIS 2F Cl PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE 0 OTHER COG7P'r
ACTIVE INGREDIENT Imidacloprid
CONCENTRATION
0.05% ❑.06% 0.1% Q.12% ❑25% ❑OTHER— GALLONS APPLIED 79
SQUARE FOOTAGE LINEAR FOOTAGE 198
I
I
SQUARE FOOTAGE VERIFIED
AYES I Of NO 0 MEASURED OR VERIFIED PER PLANS
•u• a
AYES ❑NO DETAILS
Good conditions
e5ktAITE
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As per 23265 FBC - If sod chemical barrier method for termite prevention is used. Final exterior treatment stall be completed prior to foal building approval.
Certificate of Compfiance: The budding has received a complete treatment for the prevention of subterranean termites. Treatment Is in accordance with rules and
laws estabrmheA by the Florida Department of Agnc uuue and Consumer Services. (Per the Florida Building Code.)
If this notice is for the foal exterior treatment. Initial and date this fire FIR 05/21 /2019 (TERMITE MONITOR INSTALLED 0 YES 0 NO)
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
Payment Terms: Customer's payment in fun is due at time of initial service. Customer agrees that a finance charge to the amount of 180A per annum will
be assessed on an 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 win be assessed Including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
payment fee. Customer wig be responsible for paying an costs associated with any collection process.
05r21 /2019 Ay!ad
Date Appficatgf/(Dif )
Date Customer (Property Owner or Agent)
I
3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com
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TERMITE SERV/CES MyDr l agent. com
CALL • • ' State License JB228623
Building together, Growing Together
Notice of Preventative Treatment for Termites 5�
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2) / y /
SERVICE ORDER NUMBER SERVICE DATE ��� TIME WEATHER CONDITIONS
DEVELOPMENT NAME (PROJECT) ' CONTRACTOR'S NAME CONTACT PERSON SCANNEDNA I L c<r- got s S 7Eti1S w
STRUCTURE ADDRESS (LOT/BLOCK) I CITY, STATE, ZIP CODE -C(sf✓TNf
CONTACT PHONE NUMBER INOTES
❑ FLOATING /6 MONOLITHIC ❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ CUTOIRS ❑ FOOTERS ❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
TR TMENTTYPE /'rl
TAMP 8, TREAT ❑TREAT ONLY ❑FINAL ❑RETREAT ❑ BORA CARE TREATMENT El TERMITE BAIT STATION
I
P UCT
DOMINION ❑ AgONIS 2 /jG PCLGy I MON TO ❑ TERMIDOR ❑ BORACARE O OTHER
ACTIVE INGREDIENT IM 1/ T V
CONCENTRATION
❑.05% ❑.06% /,V.
0.12% 0.25% El OTHER GALLONS APPLIED
SQUARE FOOTAGE I R 6 LINEAR FOOTAGE
YES / Cl NO ❑ MEASURED OR VERIFIED PER PLANS
DYES ❑NO DETAILS
SAFETY CONDITIONS
G Oa(7
RNIITE SFR`
9 F
Tom: °
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As per 2326.1 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 miss and
laws established by the Florida Department of Agriculture and Consumer Services. (Per the Florida Building Code.)
I
If this notice is for the final exterior treatment, initial and date this line
{TERMITE MONITOR INSTALLED O YES ❑ 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 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
Pa me/n-t- ee. I Customer will be responsible for paying all costs associated with any collection process.
� l
Date Applicator (Diligent Services)
Date I Customer (Property Owner or Agent)
Corporate 3500 NW Boca Raton Blvd. 1 Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com