RC-10-21-2689 TERMITELt7kC4�,r CALL DILIGE
TSL '-&M 0 %as I
Building together, Growing Together
1,800=DILIGENT
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 IQ `' O SERVICE DATE —0 TIME 11 ' ('rm WEATHER CONDITIONS l ��
DEVELOPME5,
NT NAME (PROJECT) CONTAAC O NAME I r� CON AT1P RSON
j�V I A
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STATE, ZIP CODE COUNTY
q930 NE a t ''` Ave— van . S orL . F 8'
CONTACT PHONE NUMBER NOTES
15+2, 5- 726 '�l�). I� r-e CAS 1 �GY 51-et 11 ((n+R" Oak Poo is
TOFI7TIUP NT TVOFIArMA
�ATING ❑ El MONOLITHIC
OUTS FOOTERS
TREATMENT TYPE
1
TAMP & TREAT XTREAT ONLY
❑ PATIO
❑ FRONT ENTRY
❑ GARAGE ❑ DRIVEWAY ❑ STEM WALL ❑ ADDITION
❑ EXTERIOR PERIMETER FOR RENEWAL ❑ OTHER
❑ FINAL ❑ RETREAT ❑ BORA CARE TREATMENT ❑ TERMITE BAIT STATION
T
>2Q7MINION Cl ADONIS 2F R MISE ❑ DEMON TC ❑ TERMIDOR ❑ BORACARE ❑ OTHER
ACTIVE INGREDIENT'��
v
CONCENTRATION � ! L�
❑ .05% ❑ .06% io ❑ .12% ❑ .25% El OTHER GALLONS APPLIED J
SQUARE FOOTAGE f% 177 LINEAR FOOTAGE
J EADY CONDITIONS MET
S ❑ NO
' SAFETY CONDITIONS
❑ MEASURED OR VERIFIED PER PLANS
❑ AILS
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 l' ited to: o e ion service fee, attorneys fee, finance charges and non -sufficient funds
payment fee. Customer will be responsi fa paying all Qos(S ssociat w' h any collection process.
n
Date Applicator {Dlll ice
Date Cys-mey(Pr6perty Owner or Agent)
Corporate 3500 NW Boca Raton Blvd. I Suite 714 1 Boca Raton, Florida 33431 1 1-800-DILIGENT I mydiligent.com