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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 9 Jt Mtn / r <0 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 (?1 b�tr vv 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: ° -� r r i �' ems• 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