PERMIT DOCUMENTS D/L/GEN ry 1 -800-D!L!GENT
MyDiligent.com
TERMITE SERVICES CALL DILIGENT FOR State License JB228623
Building together, Growing Together CONCRETE WASHOUT! /
Notice of Preventative Treatment for Termites /f' 7
(as required by Florida Building Code 2326.5 and Broward County Chapter FBC 105.2.2
SERVICE ORDER NUMBER SERVICE DATE 3)I LiI I g TIME I .OU P1,4 WEATHER CONDITIONS
DEVELOPMENT NAME(PROJECT) CONTRACTOR'S NAME CONTACT PERSON
hob OC E44/ p voR N1FMtc Simon- PLO" 44a(et ld/
STRUCTURE ADDRESS(LOT/BLOCK) CITY,STATE,ZIP CODE COUNTY
to g r-evri hi Pwl Bn v1o" 13 �/tc0 rC7wfc
CONTACT PHONE NUMBER NOES
St IF
TREATMENT TYPE/AR/5A
LI FLOATING /C]MONOLITHIC ❑PATIO 0 GARAGE 9 DRIVEWAY ❑STEM WALL LI ADDITION
CI CUTOUTS /O FOOTERS Cl FRONT ENTRY LI EXTERIOR PERIMETER FOR RENEWAL 9 OTHER
TREATMENT TYPE /
LI TAMP 8 TREAT ,I:JTREAT ONLY O FINAL ❑RETREAT U BORA CARE TREATMENT U TERMITE BAIT STATION
PRODUCT
/DOMINION CJ ADONIS 2F 0 PREMISE . U DEMON TC U TERMIDOR O BORACARE LI OTHER
!ACTIVE INGREDIENT IAA (914 C16 Pa to
CONCENTRATION / r/
0.05% 0.06% /1( 0.12% 0.25% ❑OTHER— GALLONS APPLIED qq FMIESF
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SQUARE FOOTAGE 0910 LINEAR FOOTAGE al V40 • O s••N `v
r &. r
AR OTA E VERIFIED Pi
0 YES 0 NO 9 MEASURED OR VERIFIED PER PLANS t ( ci n. ;
• `.••p R \ •; 1
•
RE DYC NDITI N M `• * ••
YES ONO DETAILS '."
$A> CONDITIONS GLX/ 0
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 (TERMITE MONITOR INSTALLED 0 YES U NO)
FINAL STICKER
LI ELECTRICAL PANEL 0 WATER HEATER OTHER
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 em 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: c ection service lee,attorney's fee,finance charges and non-sufficient funds
Datepa nt fee 1 Custo er will be responsible for paying all st as sdCH with any collection process.
l Applicator(Diligent Services)
Date Customer(Property Owner or Agent)
Corporate 3500 NW Boca Raton Blvd. I Suite 714 I Boca Raton, Florida 33431 I 1-800-DILIGENT I mydiligent.com
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