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CERTIFICATE OF COMPLIANCE - TREATMENT FOR TERMITES
a 19 b4-(903( 0 Certificate ®f C®mpflance (This is a partial treatment only and not a guarantee or warranty) Permit -Number: 5�—/jqVq-003/ - Location of Property: LJSAv'��? 13 Legal Description: Section Block Lot Pest Control Company ft- Carp Owne /Pie 6e Print P ature 4,Z4• III I�WNg� Date Title Soil Treatment Company information Tra tment1 ameSW© Ad ress LW -057340i 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) —I� as per manufacturer's specification. If the second treatment is not required, a copy of the product label shall be included with this certificate. This form is to be filled out by Pest Control Company SCANNED St. LucBy -- ��AA �� County P-3L69Z 'Treatment Information yyzt`/! DatgoTTr�trpe�p^ Chle icalChemical Used Concentratio 3 (p q �1 Gall!Mped Method of Application (soil , etc.) Linear Fotage 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: 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 _ _ F U .N D to the Building Department before your final inspection is scheduledi