HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATETERMITEFRETREAT SPECIALISTS ' ` :D ' i6■PRE■TREAT
' 600-DILIGENT
` ��� FAX 800-837-0311
' 7ermitePretreat.com
Public Works State License JB94495
.�.1- Lucie coup
tY, FL
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 104.2.6 and Broward County Chapter FBC 105.2.2)
PEST PREVENTION I LAWNS ORNAMENTAL CARE I TERMITE SERVICES I MOSQUITO ABATEMENT I RODENTS NUISANCE WILDLIFE EXCLUSION & REMOVAL
2^7 SERVICE ORDER NUMBER SERVICE DATE E3- d - TIMEr VSUNNY ❑ CLOUDY
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
r SCANNgn
STRUCTURE ADDRESS (LO /BLOCIQ CITY, STATE, ZIP CODE COU B r
`,
�yqf Lucie cGufff
CONTACT PHONE NUMBER I NOTES
❑ FLOATING
❑ CUTOUTS n FOOTERS
TREATMENT TYPE
❑ TAMP &TREAT El TREAT ONLY
PRODUCT
I
❑BASELINE PROBUILD TO
ACTIVE INGREDIENT
❑ PATIO ❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL
❑ FRONT ENTRY 0 EXTERIOR PERIMETER FOR RENEWAL 0 OTHER—
❑ FINAL ❑ RETREAT 0 BORA CARE TREATMENT ❑ BAR STATION
• r::.. a • r Pill i*]ON" M:Iv,II1910NI 1-A]7:INat:1�.1
1J•9,111.0
CONCENTRATION ••••....��'
0.06% 0112% �.25% 0.5% 0.23% ❑OTHER— GALLONS APPLIED •• P@1D PEST
a �� •P V O q q••
SQUARE FOOTAGE �S�iZ� LINEAR FOOTAGE �i O T
rG
SQUARE FOOTAGE VERIFIED Liz-
Z : -
❑ YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS :�� :AN• �Q
JOB READY CONDITIONS MEf
�••..
❑ YES ❑ NO DETAILS
I
SAFETY CONDITIONS
I
As per 104.2.6 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 fo{ the final exterior treatment, Initial and date this line (TERMITE MONITOR INSTALLED 0 YES 0 NO)
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
Payment Terms: Customer's 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 ances that a not satisfied by the due date. In the event a collection process becomes necessary to recover an unpaid
balance the following fe will be asses se including but not limited to: collection service fee, attorney's fee, finance charges and non -sufficient funds
payment fee. Ctislame will be responsi fpfvayigq all cV`associated with any collection process. ,
Date I Applicator (Dlilg n1.�n and Pest Control, Inc.)
Date Customer (Property Owner or Agent)
�t 10 g ^ r ® 800-DILIGENT
xx '� t"E.V".. ® 11
' "A 80=ligent.com
Corporate 3100 NW Boca Raton Blvd. I Suite 106 1 Boca Raton, Florida 33431 1 800.487.8190