HomeMy WebLinkAboutCERTIFICATE OF COMPLIANCEa
Pont St. Lucie Building Depa
Permit Number:
Location of Property:
lay"
Certif date ®f Compil
(This is a partial treatment only and not a guarant
3
Legal Description: Section
Pest Control Company
;01j CT71 S'�s4.
� o� - Please Print
Date Title
Soil Treatment Company
Soil Treatment Company
Address
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 Depart m ent of
Agriculture and Consumer Services. A
second treatment was done on I (date)
J__ _J as per manufacturer's
specification. If the second treatment is
not required, a copy of the product label
shall be included with this certificate.
we. pr
Block
This form is to be filled out
by Pest Control Company
�n
=Treatttient Information
Date of Treatment
Chemical Used
. l' . ) Z A
Concce`ntration
Gallons Used
S/K6
Method of Application (soil mixed, etc.)
,4e.S, j'i.
Linear Foofage of Area Treated
Second Treatment information
Date of Treatment
Chemical Used
Concentration
Gallons Used
Method of Application (soil mixed; etc.)
Linear Footage of Area Treated
Please Note: The City of Port St. LLie 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 protectio i against termites.
This form i�f -S7z PE i1JRf;.Ec, to th
e Building Department
before your final inspection is scheduled!