349 NE 102 ST Termites*oe
Building together, Growing Together
1-800=DtLsGENT
MyDiligent.com
State License JB228623
Notice of Preventative Treatment for Termites
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2)
SERVICE ORDER NUMBER!` ✓ SERVICE DATE TIME f + WEATHER CONDITIONS �'�■
DEVELOPMENT NAME (PROJECT)
STRUCTURE ADDRESS (LOT/BLOCK)
IOz_;
CONTACT PHONE NUMBER NOTES
TREATMENT TYPEIAREA
❑ FLOATING XIMONOLITHIC
❑ CUTOUTS ❑ FOOTERS
TREATMENT TYPE
❑ TAMP & TREAT TREAT ONLY
CONTRACTOR'S NAME
❑ PATIO
❑ FRONT ENTRY
CONTACT PERSON
CITY, STATE, ZIP CODE
T_
COUNTY
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
Cl FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
PRODUCT
DOMINION ❑ ADONISt 2F ❑ PAEM SE El DEMON TC ❑ TERMIDOR ❑ BORACARE ❑OTHER
ACTIVE INGREDIENT
CONCENTRATION
❑ .05% ❑ .06% 16 % ❑ .12% ❑ :25% ❑ OTHER GALLONS APPLIED
SQUARE FOOTAGE :7�0-0 LINEAR FOOTAGE
SQUARE FOOTAGE VERIFIED
YES ❑ NO
JOB READY CONDITIONS MET
iYES ❑ NO
SAFETY CONDITIONS
❑ 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 ❑ WATER HEATER OTHER
(TERMITE MONITOR INSTALLED ❑ YES ❑ 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. Cu tomer will be respon Ibl for paying fall costs associated with any collection process.
I r l��[ w
Date Applicator (Diligent Services)
g1Z
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