HomeMy WebLinkAboutTermite cert Port St. Lucie Building Department This form is to be filled out
by Pest Control Company
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auaw}iedaCledaa 6ul}IIja, Certificate of Compliance
Rol 10 sne (This is a partial treatment only and not a guarantee or warranty)
a3�I3�3a Permit Number: l �07 ` on G -7
Location of Property: k / S�9 qH 1 \�0� ok S�• 1,x Q�%l 3�9-;. .-
Legal Description: Section -70; -=t(3-ew Block Z7 Lot
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,-i Pest Control Company Treatment Information
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Compan wn r - Please P 'nt Date of Treatment
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Signature Chemical Used
Date Title Concentration o
Gallons Used
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Soil Treatment Company Information Method of Application (soil mixed, etc.)
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0 Linear Footage rrba Treated
Soil Tr atment C pany Name r�Cw.�
,o sJ A �S� Sir�t c�S' 4R r^ O �ora6 Q Jlit�0.
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Address Second Treatment Information
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Soil TreatmeTACS License #
CL) �� is j Date of Treatment
~ The building has received a complete Chemical Used
treatment for the prevention of
(n 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 trgatment was done on (date)
/ /tel —,&- 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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