HomeMy WebLinkAboutCERTIFICATE OF COMPLIANCE4D
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Port St. Lucie Building Department
This form is to be filled out
by Pest Control Compawpq
Certificate of Compliance
(This is a partial treatment only and not a guarantee or warranty)
Permit Number: °� `64M - SCANNED
p�7 ' f BY
Location of Property: (1 [ 67 VS 1 � 11 Iy S�.uCie COur
Legal Description: Section
Pest Control Company
JK
Ca —Ow/n PI Pri
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ignature
Date Title
Soil Treatment Company Information
Soil Treatment Company Name
°' -Sy
Address
26y7/
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
Treatment Information
Date of Treatment
T"e ryLtla sc
Chemical Used
r),Iz a/G
Concentration
Gallons Used
Sot! 7sk&t
Method of Application (soil mixed, etc)
7-�o S,e, k—
Linear Footage of Area Treated
Second Treatment Information
Date of tr,65tment
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 preconstriiction
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 MLIFtt BE RE UR!dcD to the Building Department
before your final inspection is scheduled!