HomeMy WebLinkAboutCETIFICATE OF COMPLIANCEl8�vou(¢
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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)
SCANNED
Permit Number: / �' `�� By
St LUde County
Location of Property:
Legal Description: Section
Pest Control Company
Compan Ple a Pr
Signature
Date Title
Soil Treatment Company Information
Soil -Treatment Company Name
Address
-VO %005 5
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 ;rpa ent was done on (date)
_lZdV �as per. manufacturer's
specif tion. If the second treatment is
not required, a copy of the product label
shall be included with this certificate.
Block
Lot �-
Treatment` Information
Date of Treatment
Chemical Used
Concentration
�75 .
Gallons Used
Method of Application (soil mixed, etc.)
Linear Footage of Area, Treated
Se and Treatment Information
f
Date of Treatme t f
Chemical Used
Concentration
Gallons ed
M od of Application (soil
Linear Footage of Area Treated
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.
This form MUST BE RETURNED to the Building Department
before your final inspection is scheduled! "