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Port St. Lucie Building Department
Certificate of Compliance
(This is a partlal treatment only and not a guarantee or warranty)
Permit Number: r� 3
This form Ip to be filled out
by Past Control Company
Location of Property: 7200 SHANAS TRAIL PORT ST LUCIE FL
I
Legal Description: Section Block Lot
Pest Control Company
RICHARD C PATRICK
Company Owner - Please Print
Signature
10/07/14 PRESIDENT
Date Title
Soil Treatment Company Information
_PATRICK EXTERMINATING
Soil Treatment Company Name r.
3226 SE GRAN PARK WAY
Address
STUART FL 34997
Soil Treatment/DACS License #
4864
The building has received a complete
treatment for - the prevention of
subterranean termites. Treatment is in
accordance with the rules and laws
established by the Florida Department of
Agriculture. and Consumer,/ Services. A
second treatment was bone on (date)
as per manufacturer's
specification, If the second treatment is
not required, a copy of the product label
shall be included with this certificate.
Treatment Information
1.0/06/14
Date of Treatment
CXPER TC
Chemical Used
.25%
Concentration
100
Gallons Used
RODDED
Method of Application (soil mixed, etc.)
1,000 SQ FT
Linear Footage of Area Treated
Second Treatment Information
Date of Treatment
Chemical Used
Concentration
Gallons Used
Method of Application (soil mixed, etc.)
Linear Footage of Area Treated
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.
This form MUST BE RETURNED to the Building Department
before your final inspection Is scheduled!