HomeMy WebLinkAboutCEDRTIFICATE OF COMPLIANCEIN
Port St. Lucie Building Department
SCANNED
BY
St. Ludecouf
This forth is to be filled out
by Pest Control Company
Certificate of Compliance
(This is a partial treatment only and not a g1.uarantee or warranty)
Perm itNumber:SLG-jgoe-OU'7 G°n �"Alid^ ✓�aMy-��05
?1i Bu'
Location of Property: � � -
Legal Description: -Section Block
Pest Control Company
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Company Owner - Please Print
Ar
Signature
Vi`c� Pits AeA f
Date Title ,
Soil Treatment Company Information
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Soil Treatment Company Name
I rr72 S E S_wA f�arerc✓ GiK
Address
Soil Treatment/DACS-License #
Date of Inspection
The building has received a complete'i Date of Treatment -_ -
treatment for the prevention of �n nib
subterranean termites. Treatment is in
Pesticide Used
accordance with the rules and laws Wood Destroying organism Treated
established by the Florida Department of afa ma
Agriculture and Consumer Services. A . wchaPua62226 aFW"a S�tM1eaPan�meEqu'md ew p cemas eawho r,bea wW Puatric or
second treatment was done on (date) C0 1area or aiv I fTo`ih
� mwl reay,Y accesrible area afthe pmpertY �d-
_/_— as per manufacturer's
specification. If the second treatment is
not required, a copy of the product label Reynolds Pest Management, Inc.
shall be included with this certificate. 1572 SE S. Niemeyer Circle Port St. Lucie, FL 34952
772-334-7007
Please Note: The City of Port St. Lucie does FULL TREATMENT ❑ PARTIAL(SPOT) TREATMENT
soil treatment attested to In the above. The
the best of this department's knowledge, th
Florida Building Code for protection against tariiiims.
Lot
Treatment Information
"7 )z3 /1 `l
Date of Treatmen
ors "n id7 2t—
Chemical Used "
Concentration
,OS
Gallons Used ! I
Method of Application (soil mixed, tc)
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Linear Footage of Area Treat d
_ _ 5 k
Notice of Inspection and/or Treatment
This form MUST BE RETURNED to the Building Department
before your final inspection is scheduled!