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Port St. Lucie Building-_ department
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Permit Number:
Location of Property:
Certificate of Compliance
(This is a partial treatment on$)QaAJi FQuarantee or warranty)
BY
St. Lucie County
Legal Description: Section
Pest Control Company
Richard C. Patrck
Compa wn P se Print
Signature
Owner
Date Title
(nS
Soil Treatment Company Information
Patrick Exterminating
Soil Treatment Company Name
3226 SE Gran Park Way
Address Stuart, FL 34997
4864
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.
'71..7
Lot
This form is to be filled out
by Pest Control Company
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DEC 1 y 2017
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Treatment Information
-17 12 / 1: 7
Date of Treat
ent
Chemical Usdd
Concentration
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Method
li n (soil mixed, etc.)li�n(s((s000il mixed, etc.)
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!