HomeMy WebLinkAboutTermite Treatment Port St. Lucie Bulling-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)
Permit Number: L I-70-5- 0o2Ck
Location of Property: b-( kc P���r�e ��✓�- v� �� ��
Legal Description: Section Block Lot
Pest Control Company Treatment Information
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mCOm ny Owner - lease Print , Date o Treatment
I Signature Chemical G
W Concentration
� Date Title
E Gao s Used
Soil Treatment Company Information Metho of APPJication (soil mixed, etc.)
ILIOR 'I Treatment Company Name �
Linear Footage of Area Treated
c
Address F2�3ggqo Second Treatment Information
D 9 10D.631?
Soil Treatment/DACS License #
WDate of Treatment
~ The building has received a complete Chemical Used
'0 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)
J_J 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 : - to the Building Department
N before your final Inspection Is scheduled!
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