HomeMy WebLinkAboutInspection Docs RECEIVED SEP 9,.9'7.017
M 1f� ter. PLANNING &DEVELOPMENT SERVICES DEPARTMENT
� �; Building&Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE,FL 34982-5652
(772)462-1553
FILLED LAND AFFIDAVIT
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I,the undersigned, am the owner of the following described property,
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(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code,I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is. neither obliged nor liable to provide for, or maintain in any form,
adequate drainage ,'off my property which will not adversely affect the immediate
community.
Propeo r y�ner Name(P ease rint)
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Property Owner Signature Date
STATE OF FLORIDA,COUNTY OF
ACKNOWLEDGED BEFORE ME THIS DAY OF 20_l
BY WHO IS PERSONALLY KNOWN TO ME(I J 1 OR WHO HAS
PRODUCE AS IDENTIFICATION.
S,IGN/ATURE OF NOTARY PUB C E OR PRINT NOTARY
� 1�1`2 77 COMMISSION NUMBER
(SEAL) MARIA MATILDE ESQUIVEL
Notary Public-State of Florida
• '- Commission#GG 101217
'N MY Comm.Expires May 3,2021
Bondedlhiough National NotaryAssn.
SLCPDSD Revised 04/11/2011
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Port St. 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)
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Permit Number: �1T_
J Location of Property: �n�C' i n I C° fo 7j
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Legal Description: Section Block Lot
rtDi Pest Control Company Treatment Information
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44
James Cordeiro //2 /Z 7
mComp Owner -.Please Print Da Tpeat ent
LL /�: S �/
ur Chemical Used
/ 7 President
� lYafel Title Concentration
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G Gall Used
Used
P- Soil Treatment Company Information Metho lication soil mixed, etc.)
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0 Coastal Pest Control of The Treasure Coast Inc Linear Footage of Area Treated
I Soil Treatment Company Name
a..i 6909 LTC Parkway Port St Lucie, FL 34986
IC.
Address Second Treatment Information
E Certificate #8068/ DACS #3135594
Soil Treatment/DACS License #
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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 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.
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Please Note: The City of Port St. Lucie does not guarantee or warranty the preconstruction
soil treatment attested to in the above. The purp-ose 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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