HomeMy WebLinkAboutCERTIFICATE OF COMPLIANCEPort St. Lucie Building: "iyartment
This forth is to be filled out i
by Pest Control Company
5, m
'Certificate of Compliance
Is is a partial treatment only and not a guarantee or warranty)
Permit Number: 150� '-6 ) �-1
Location of Property:
Legal Description: Section
P
(
Le l,,a/J R J• PoiT 5-f bt&,-e, FL,3
Pest Control Company
t R t i c, iGyr°j1�bS
Compan wner - Ple a Print
'. ----
Signature
�I D
Date
Title
SoilTreatmentTreatment Company InfonrAmation
j
ekllUUL>s -e- ( it rl4irCi-
SoH Treatment Company Name
K�72� <-� C9,
Address
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)
/ 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
SCANNED
BY
St. Lucie County
'95X
Treatment //Information
-2`3— �Glb
Date of Treatment
AjOhtis I r
Chemical Used
,0576
Concentration
y l CAI
Gallons Used 5 erg y
Method of Application (soil mixed, etc.)
�10 Lri. FT,
Linear Footage 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. 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!