HomeMy WebLinkAboutInspection Docs R. Lucie Building Department This form is to be filled out
by Pest Control Company
Certificate of Compliance
(This is a partial treatment only and not a guarantee or warranty)
Permit Number:,('',-/-Pl -� lOsg3 41<--
Location of Property: ly �C�l "�
y 933
Legal Description: Section Block Lot
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9-1 Pest Control Company. Treatment Information
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Company Owner - Please Print Date of atment
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I Signature Chemical r),n,
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Date/ 7/ / Title Concentratlon
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Gall sed
Soil Treatment Company
Jvn`Information Method of Application (soil mixed, etc.)
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4 Linear Footage Area Treated
Soil Tre tment Company Name
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W Address
W Second Treatment Information
Soil Treatment/DACS License #
Date of Treatment
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~ The building has received a complete Chemical Used
'0 treatment for the prevention of
(/) subterranean termites. Treatment is in Concentration
accordance with the rules and laws
established by the Florida Department of
Agriculture and Consumer Services. A Gallons Used
second treatment was done on (date)
as per manufacturer's Method of Application (soil mixed, etc.)
specification. If the second treatment is
not required, a copy of the product label Linear Footage of Area Treated
shall be included with this certificate.
Please Note: The City of Port St. Lucie does not guarantee or warranty the preconstruction
soil treatment attested to in the above. The purpose of this document is to show that to
the best of this department's knowledge, the builder has satisfied the requirements of the
Florida Building Code for protection against termites.
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This form MUST BE RETURNED to the Building Department
before your final inspection is scheduled!
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