HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATES1=800=01.siaEN
TEEM/TE SERV/CES
Building together, Growing Together
Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)
MyDiligent.com
State License JB228623
SERVICE ORDER NUMBER /7-76yj SERVICE DATE-CL�� TIME T� �U WEATHER CONDITIONS O FAK
DEVELOPMENT NAME (PROJECT) LU % CONTRACTOR'S NAME CONTACT PERSON
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE, ZIP CODE COUNTY
/ter_ E
CONTACT PHONE NUMBER NOTES
TREATMENT TYPEIAREA
❑ FLOATING �1000LITHIC
❑ CUTOUTS ❑ FOOTERS
TREATMENTTYPE
MP & TREAT REAT ONLY
PRODUCT
❑ PATIO ❑ GARAGE ❑ DRIVEWAY
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL
❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT
❑ STEM WALL ❑ ADDITIONb`ANNEi..1
❑ OTHER BY
t, Lucia County
❑ TERMITE BAIT STATION
"MINION ❑ ADONIS 2F ❑ PREMISE ❑ DEMON TC ❑ TERMIDOR ❑ BORAGARE ❑ OTHER
ACTIVE INGREDIENT
CONCENTRATION ....
• ��RMITE gFRL
❑ .OS% ❑ .O6% O9�1
j/ % ❑ .12% ❑ .25% ❑OTHER GALLONS APPLIED • _ �
i q••'P Dq•./C•
SQUARE FOOTAGE lMe LINEAR FOOTAGE / 04�� O / ' lip y�
UARE FOOTAGE VERIFIED
ES ❑ NO
J B READY CONDITIONS MET
YES ❑ NO
❑ 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
FINAL STICKER
❑ ELECTRICAL!PANEL O WATER HEATER OTHER
(TERMITE MONITOR INSTALLED O YES O NO)
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
payment fee. Customer will be reyyonsible for paying a1I c s associated with any collection process.
o /r (/
Date pplicator (Diligent Services) o
O/d // ! C�
Date cu omer(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
TERMITE PRETREAT SPECIALIST 1,,
-..00=DILIGENT
MyDiligent.com
State License JB228623
TERMITE SERVICES
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 2326.5 and Broward County Chapter F13C 105.2.2)
CONCRETE WASHOUT SERVICES I TERMITE PROTECTION I PEST CONTROL I MOSQUITO CONTROL I RODENT CONTROL
SERVICE ORDER NUMBER 169190 SERVICE DATE 5/1/19 TIME 10:30am WEATHER CONDITIONS Clear
ED
DEVELOPMENT NAME (PROJECT)
CONTRACTOR'S NAME
CONTACT PERSON
Oakland Lake Lot 63
Shell Systems
B
STRUCTURE ADDRESS (LOT/BLOCK)
CITY, STATE, ZIP CODE
COUNTY bt,uC
oun
5283 Oakland Lake Circle
Fort Pierce, FL
34951
CONTACT PHONE NUMBER
NOTES Driveway
TREATMENT TYPE/AREA
❑ FLOATING ❑ MONOLITHIC
❑ PATIO ❑ GARAGE
DRIVEWAY
❑ STEM WALL ❑ ADDITION
❑ CUTOUTS ❑ FOOTERS
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL
❑ OTHER
TREATMENT TYPE
TAMP & TREAT ❑ TREAT ONLY ❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
PRODUCT
DOMINION ❑ADONIS 2F ❑PREMISE ❑DEMON TC ElTERMIDOR ❑BORACARE ❑OTHER
ACTIVE INGREDIENT Imidacloprid
CONCENTRATION
❑.05% ❑.06% 6.1% 0.12% ❑.25% ❑OTHER— GALLONS APPLIED 20
SQUARE FOOTAGE 400 LINEAR FOOTAGE
YES ❑ NO
YES ❑ NO
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
• �ELMITE SFR
OR.s,C t
�P
'V' 1
OR��:
As per 2326.5 FBC - If soil chemical barter 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.)
If this notice Is for the final exterior treatment, Initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
{TERMITE MONITOR INSTALLED 0 YES O NO)
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, aOomey's fee, finance charges and non-sufifclent funds
payment fee. Customer will be responsible for paying all costs associated with any collection process.
5/1/19
Date Applicator Opfient Se66ices)
Date Customer (Property Owner or Agent)
Corporate 3500 NV/ Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT
TERMITE PRETREAT SPECIALIS' In' 00-DILIGENT
MyDiligent.com
D/L/GEN � woo
State License JB228623
TERMITE SERVICES I gl2. - O o'%
Notice of Preventative Treatment for Termites
(as required by Florida Building Code (FBC) 2326.5 and Broward County Chapter FBC 105.2.2)
CONCRETE WASHOUT SERVICES I TERMITE PROTECTION I PEST CONTROL I MOSQUITO CONTROL I RODENT CONTROL
SERVICE ORDER NUMBER169187 SERVICE DATE5/1/19 TIME 9:00am WEATHER CONDITIONS Clear
DEVELOPMENT NAME (PROJECT) CONTRACTOR'S NAME CONTACT PERSON
Oakland Lake Lot 25 Shell Systems
STRUCTURE ADDRESS (LOTIBLOCIQ CITY, STATE, ZIP CODE COUNTY BY
5282 Oakland Lake Circle Fort Pierce, FL 34951
St. Lucie Coun
CONTACT PHONE NUMBER NOTES Driveway
❑ FLOATING
❑ MONOLITHIC
❑ PATIO ❑ GARAGE 0 DRIVEWAY
Cl STEM WALL ❑ ADDITION
❑ CUTOUTS
❑ FOOTERS
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL
0 OTHER
TREATMENT TYPE
TAMP&TREAT
❑TREAT ONLY
❑FINAL ❑RETREAT ❑ BORA CARE TREATMENT
❑ TERMITE BAR STATION
PRODUCT
DOMINION ❑ ADONIS 2F ❑ PREMISE 0 DEMON TC ❑TERMIDOR O BORACARE El OTHER
ACTIVE INGREDIENT Imidacloprid
CONCENTRATION
1:1.05% ❑.06% 0.1% 0.12% 11.25% ❑OTHER— GALLONS APPDED 20
SQUARE FOOTAGE 400 LINEAR FOOTAGE
YES ❑ NO ❑ MEASURED OR VERIFIED PER PLANS
YES ❑ NO DETAILS
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As per 2326.5 FBC - If soil chemical bander 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 Fladda Department of Agi iculure and Consumer Services. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
❑ ELECTRICAL PANEL ❑ WATER HEATER OTHER
(TERMITE MONITOR INSTALLED 0 YES 0 NO)
Payment Terms: Customer's payment in full is due at time of initial service. Customer agrees that a finance charge in the amourd 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
payment fee. Customer will be responsible for paying all costs associated with any collection process.
5/1/19
Date Applicator(BAgent SaKices)
Date Customer (Property Owner or Agent)
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT