HomeMy WebLinkAboutTERMITE TREATMENT CERTIFICATED/L70iN - '�
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MyDiligent.com
State License JB228623
SCANNE0
Building together, Growing Together L= By /
Notice of Preventative Treatment for TeAlMicie Cour rfo 3('
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2) `'Z
SERVICE ORDER NUMBER - SERVICE DATE tO l TIME I %dQ //"' WEATHER CONDRONS
DEVELOPME14T NAME _(PP JEC, a�
(//1 L1 •K/BLLOCK)
CONTR4C
S
R'S NAME
/C� jL )L-
CONT PARSON
GyI
STRUCTU E/1
CITY, STATE, ZIP CODE COUNTY
N 1 W9Z14KFClk
F6
rt P1
kC
CONTACT PHONE NUMBER
NOTES '
TREATMENT TY
❑ FLOATING
7MONOUTHIC
❑ PATIO ❑ GARAGE ❑ DRIVEWAY
❑ STEM WALL ❑ ADDITION
❑ CUTOUTS
❑ FOOTERS
❑ FRONT ENTRY ❑ EXTERIOR PERIMETER FOR RENEWAL
❑ OTHER
TBEATMENTTYPE
❑ TAMP & TREAT
J/
Jd I REAT ONLY
❑ FINAL ❑ RETREAT O BORA CARE TREATMENT
Cl TERMITE BAIT STATION
PR UCT
DOMINION
ACTIVE INGREDIENT
Cl ADONIS 2F El PREMISE
Min CZt" gk
El DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
I �I
CONCENTRATION
-
.1% 0.12%
0.25% ❑OTHER— GALLONS APPLIED rc�
.....
. M(TES�%
0.05% 0.06%
a-d oo LINEAR FOOTAGE
ARE FOOTAGE VERIFIED
0 YES Cl NO
J EADY CONDI ONS MET
YES ❑ NO
SAFETY CONDITIONS l7�VJ
❑ MEASURED OR VERIFIED PER PLANS
DETAILS
As per 2326.5 FBC - If soil chemical banner 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 ❑ WATER HEATER
(TERMITE MONITOR INSTALLED 0 YES Cl NO)
Payment Terns: 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, attorneys fee, finance charges and non -sufficient funds
Pal
l t et Customer will be responsible for �yZIl costs associated with any collection process.
Date Applicator (Diligent Services)
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