HomeMy WebLinkAboutSUBMITTED PAPPERSMOBILECRETE El MC
TECHNOLOGIES ❑VISA
Metered and -Mixed Fresh On -Site
772.466.5070 ❑AMEX
3825 Selvitz Road, FL Pierce,, Florida 34981 Li —
Cubic yds. ordered:
of
job:
ier NamePl5_
yAddress: fy0�) J
Phone:
P.O.#:
R
'E
MIX D
REG UMP
PEA ROCK
##57/67
PRICE
PER YD
'
AMOUNT
IL)W
Pro,
/ D MIX
OTHER
ME
JOB
TIME
STARTED
TIME
FINISHED
DELIVERY
CHARGE
TRUCK
O.T. FEE
10 Minutes of FREE
inloading for every yard.
$1.�n0 per Minute After
-
SHFJV LOAD
FUEL SURCHARGE
ENVIRONMENTAL
SUB TOTAL
TAX
TOTAL DUE
-
iKS:
;er assumes full responsibility for strength, slump and quality of concrete when
ig the calibration of send, rock or water, or other material requested on the.job.
idersigned, wil assu d ail responsibility for any age where delivery is made
f the curb. , '
er X: % 'Driver: J 1
reading: Truck Number.
Date:
Time of Job: _
Customer Name:
Delivery Address
City
Project Name:_
MOBILECRETE v MC
TECHNOLOGIES ❑VISA
Metered and Mixed Fresh On -Site
772.466.5070 0 AMEX
Selvitz Road, Ft. Pierce, Florida 34981
Cubic yds. ordered:
r ,1 t_._,
Phone:
P
YARDS
USED
MIX D - •
REG. PUMP
PEA ROCK
PRICE
PER YD
AMOUNT
CiZA
n#57167
I' 6�
FIBER! MIX
OTHER
E
ON JOB
TIME
STARTED
TIME
FINISHED
DELIVERY
CHARGE
TRUCK
O.T. FEE
10 Minutes of FREE
unloading for every yard.
$1.00 per Minute After
SHORTLOAD
'
FUELSURCWIRGE
ENVIRONMENTAL
SUB TOTAL
TAX
TOTAL DUE
REMARKS:
Purchaser assumes full re
changing the calibration of
1, the undersigned, will ass
inside of the curb.
Customer X:
Meter Reading:
ility, for strength, slump and quality of concrete when
ick or water, or other material requested on the job.
responsibility for any damage where delivery is made
Driver:O
Truck Number.
I
St Lucie County Inspections-
2300 Virginia Avenue
Ft -Pierce, ]C+L 34982
(772) 462-2172
CERTIFICATE OF TERMITE TREATMENT
��`` CONSTIZUCTION SOIL
�TIZEATMRNT
PRItIVHT # /`///t) - 036 9, � JOB ADDRE, SS Spa? cS cJ !/lCQ
R & IF PeSt Controrl-4 Inc
PEST CONTROL CONTRACTOR 1856 SW Bayshore Bl va
Port St Lucie, FL 34984
PEST CONTROL LICENSE It
e7(\
We, the utic] ersigned, hereby certify that we have pretreated the above -described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet of area treated; —> _-
Percentage of solution: t2 S'b•
Date of treatment;
❑ rooting
❑ 1st Treatment
Cl Re -treat
❑ Slab
❑ lstTreatrient
❑ Re -treat _
❑ DrivewW
'Ist Treatment
Re -treat
OOlS
❑ 1st Treatment
❑ Re -treat
❑ Other
❑ tst Treatment
❑ Re -treat
Chemicals used:. f
Total gallons used: 'N" L
Time of Treatment:
�— A
FB C10A.2.6 Certificate of l'rotective Trealateni for prevention of lerntUes.
A Fveadier resistatt jobsile polling board shall be provided to receive
duplicate Treatment Certificates as each required protective rreatinent Is
completed, providing a copyforthe person the permit is issuer/ to and
another copy for the building permit files. The Treatment Certificate shall
provide the product used, identity'of the applicator, time and date of the
treaunenr, site location, area treated, chemical used, percent concenti•ntion
and nimtber of gallons used, to estnblish a verifiable retord ofprowave
treatnent., If the soil chemical barrier method for termite prevention is used,
final exterior treatment shall be completed prior to final building approval.
St Lucie County requires for the teal inspection for CO, a Permanent
sticker to be placed on the electrical panel box cover, listing all lire
treatments and dates of upplientions.
❑ Perimeter 'for Final Inspection
NOTE:
Tliere nrlist Lea completed font for each required treatment or re -treatment and this form nits,st Leon
the job site to be picked itp by the inspector at tittle of each inspection or the schedllted inspection will
fail and a re -inspection fee charged.