HomeMy WebLinkAboutCertificate of CompliancePort St, Lucie Building Depart-wt
Q0
V—
CO
V—
Cn
(D
L
L
0
4--
E
CZS
L
. 0
co
Lj
200S
1Si
TliFORM IS TO BE FILLED OLrr
�.`I
PEST-CON17110L COMPANY
Certificate of Compliance
Innis is a -MVal treatment ony cnd not a gucrantee Or warranty)
PERMIT NUMBER: 05 (M -O646
LOCA71ON OF PROPE,iTY:
LEGAL DESCRIPTION: SECTION:
Ply CONTROL COWANY
RICHARD C. PATRICK
COMPANY OWNER - P'.EAScW21��.
•
SIGNATURE
OWNER
DATE TITLE —
SOIL TRF-ATMEw C.OMPAIW INFORMATION
PATRICK EXTERMINATING. INC.
[SUL TREATMENT COMPANY NAME
3226 S.E.,GRAN PARK WAY, STUART
ADDRESS
a
4864
SOIL TREATMENTMACS LICENSE #
The bui!ding has received a complete treatment for the
Prevention of subterranean tern'ites. 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 [Dated ! ; as per
Manufacturer's specification. If the second treatment is not
Muxed a cony of the oroduct label shall be inciuded with
This Certificate.
BLOCK: LOT:
TREATMENT wrFoRMAMN
Marcy-,19 900S
DATE OF TREATMENT
1Jo►v�ao►�n r
CHEM. USED
A 12,0
-NTRATION
200
CAA -NS USED
%"O'LT OD -
M OF APPUCQIONT0ddQ<L Sw 1�'oced. ETC.,
aC�
La FOOTPGE OF A7-A TREATED
DOND TREEATMMi ll"VO 2MATION
DATE OF TREATMENT
C HEMICAL USED
COS ' !TP=N
GALLONS USED
N:EIHOD OF APPLICAP,ON(Rodded, Soil MWW, EM-1
LINEAR;:' T— E OF AREA TREATED
Please Note: e City of Port St. Lucie does not guarantee or war, arty the preconst: ucfion soil treatment attesteG to
fi
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 tine Florida Building Code for protection against ter ices.
CT This form must be retumed to the Building Department
before your final Inspection is scheduled.
T-d
QGC:IT b0 So Uer