HomeMy WebLinkAboutCERTIFICATE OF COMPLIANCEl0
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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: /W_
This form Is to be filled out
by Pest Control Company
RECEIVED
JUN`2 6 1018
P@rmltting Department
Location of Property: _ f y]'L— �(` 9t, Lucie County
Legal Description: Section
Pest Control Company
Comp n w er - Please Print
Signature '
Date? I Title
Soil Treatment Company Information
p
IY asst �Jc�r iG S v)G
Soll Treat ent Company Name
�9SL, 3�6q
Address
J 'l3 . l q•3 �S
Soil Treatment/DACS License #
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)
4212—X I-L-it 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 13
Treatment Information
Date of T eatrrient
T�n rr r
Chemical sed
23��v
Conce ttratlon n
G �I
Gallons UsMd
DSKGC 1
Method of Application (soll mixed, etc.)
cx-)
Linear Footage of Area Treated
Second Treatment Information
Date of Treatment
Chemical Used
Concentration
Gallons Used
Method of Application (soll mixed, etc.)
Linear Footage of Area Treated
Please Note: The City of Port St. Lucie does not guarantee or warranty the preconstruction
so.11.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)