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Port St. Lucie Building Department
Certificate of Compliance
(This is'a partial treatment only and not a -guarantee or warranty).
Permit Number: ICO 2 " 0 1 S-
Location of Property:
Legal Description.: Section
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Pest Control Company
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Print
Soil Treatment Company Information
Soil Treatment CompanyP ame
a-RW O UD G�Gi:ri6 i of
Address
oiS I Treatment/DACS License #
LA L A �
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 done on (date)
11 (_?-2 /1JQ as per manufacturer's
specification. If the second treatment is
not required, a copy of the product label
shall be included with this certificate.
Block
Lot
This form is to be filled out'
by Pest Control Company
Treatment Information
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Date ofeatment
Pitttry
Chemical Used (0
Concentration
l WD
Gallons Used
Aux
Method of Application (soil mixed) etc.)
Linear Footage of Area Treated
Second Treatment
Information
Date of TrTZ�;
J t lit, lr�
Chemical Used
.0 LO
Concentration y� -
J
Gallons Used
Method of Application (soil mixed; c )
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
the best of this department's knowledge, the builder has satisfied the require r�
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! San
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RECEID NOV 15
7016