HomeMy WebLinkAboutCERTIFICATE OF COMPLIANCEPort St. Lucie Buildi.o,; Department
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Certificate of Compliance
(This is a partial treatment only and not a guarantee or warranty)
This form is to be filled out
by Pest Control Company
SCANNED
Permit Number: � L C M /1 6 5- BY
Location of Property: 6 7 8 3 S US //P/y St. Lucie County
Legal Description: Section
Pest Control Company
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ate Title
Soil Treatment Company Information
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Soil Treatment Company Name/
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Address
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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 3 Lot 9
Treatment Information
Date of Treatment
7e; Jg-, S G
Chemical Used
Corr�en��r'atio
Gallon se
A✓'I
MetKod
/o Application (soil mixed, etc.)
1( 1iyjpy
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!