HomeMy WebLinkAboutSUBMITTED PAPERS_2.1
COOK & MENARD AIRXHI ECTE IN*-
806 Delaware Avenue, ]Ft. Pierce, Florida- 34950
Phone; (772)460-7751 Fax: (772) 460-4244
NOV
Email Address:
June 23, 2011 lc� — 0 l
St. Lucie
County
Building Department
2300 Virginia Ave.
Ft. Pierce, FL n
Re: Bell Residence
17800 Wagon Wheel Ln
St. Lucie County, Fl
Permit # 1104-0 13 7
M1
To Whom It May Concern:
Please be advised that blown -in insulation, in lieu of fiberglass batt insulation in attic,
meets with our plan specified requirements and the 2007 Florida Building Code with 2009
amendments for 130 NTH, 3 second wind gust, wind zone Exposure C.
a
Respectfully Submitted,
C
Peter B. Cook
Cook & Menard Architecture Inc.
FLORIDA REGISTRATION NO. AA0003494, NCARB CERTIFICATION NO.31789
C
t
0
N
0
b
a
City of Port Saint Lucie Building Department
INSULATION CERTIFICATION CARD
Permit #-' 1/1, 1/ o )-Z�
Insulation Contractor Nama;1SLch-t/6rc,"
Jobsite Contractor:
Jobsite Address: / `7
i V
Section: Block: Lot:
Ceiling Insulation
Manufactures Name:' 0,oril *n
Insulation Type:
R-Value of Insulation:
Thickness of Insulation Installed: ""
Location of Ins//i�4
ulation Installed: 111T
Date of Installation: '7/ / 3
Manufactures Name: V7 M, I GO.
Insulation Type:-(4c-6y 6r
R-Value of Insulation: i
Thickness of Insulation Installed:
Location of Insulation Installed:
Date of Installation: r7
V C-(
Please Check One:
U" Attic insulation installed with ventilation per R806.1, R806.2 and R806.3
Florida Residential Code 2004
❑ Conditioned attic assembly insulation has been installed per R-806.4,
Florida Residential Code 2004
THIS C D MUST B .POSTED IN A PROMINENT LOCATION AND RETURNED TO
TH U DING DEP R MENT BEFORE YOUR FINAL INSPECTION. 43Sa
Insulation Contractors Signature PSL License #
08/18/2008. 21:06� 5618819"a'—,
ThIiiiiiiiiiiiiiii"Tkim
HEIDELBERGUMENTGroup
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RIVIERA _�
PAGE 11/11
Continental Florida Mate lals Inc. _��
1705822
13450 W. Sunrise Blvd,, Suit t 430
Sunrise, FL 33322.
Tel: (954)'858-07BO CAUTIONI I Frr,•,hly mixed cement. mortar,
UNLOADING Drivers am prohimind
concrete or grout may Cause shin Injury. Avoid
from delivering concrete except under the
contact with eyes where poRRible and wash
Irucksown power, MCI where MID cOndtions
exposed Rkin Rroas promptly with water. It any
panryt uva safe and proper operavon of hlR
Cement r rhiturea get Into eyes, rinso Immediately
equipment. Drivers are not permitted to
and rope dodgy with water and get prompt medidal
add wolor to lho mot nor to qo boyond Iho
trestmei t. Sewing• or grinding or concrete
curb line, except upon the authorization of
masonry units may result In the release of du;:f
the PiorhasorrPurchasar's Agnnt and Ns
FORT PIERCE (S) CONCRETE PLANT partle,1: which, without the use of proper nyn nr tecoptan4c of 6M for any ioev ordamnge..
3778• •SELU resplrete y protaruon, Could cause eye or nose I acknowledge that I have recalved and
ZTZ: READ irritation. The Material Safety Data Shrnts for aveBpWMo rnliferrnO eird on 0M, Ircke.t.
the products sold by Continental Florida t understand and agree to the terms on
Curb line crossed at Purchasor/Purelieser's Agent request. Initials of Pureheaer/Purchaser's Materlal. Inc. are available upon roquoal, both the front and UaCR or Iifir ricket•
Agent TOTAL
WATER
Initials of PurchaVedPurchdsees Agent acknowledging addition of water at PurehaaerlPurchaser'a YARDS ON TRUCK/GALS OF WATER ADDED Aoot;o
Agent request 470
9s 7 to 5 4 3 9 #
ARRIVAL TIME � START POUR TIA$/ FINISH POUR TIM� LEAVE_ d08�
-h/ S
PURCHASEWRDIASER S AGF.NI'
P.O. NUMBER/ORDERED BY
PUHG 1AUC-RI
PURL AASER'S AGENT
ZONE JOB WM6ER T TIMETICKEfm DATE TICKET
5836931 1
SOLD TO
1 I
I
DELIVER TO
06/03/11 1352466
ORDER: 10
TNT.•=8U3.L;AERSw•GF,,, 010, XH-6:44C
17800 Wn(- ONWHEEL LANE
FT
Concrete Disposal:
^,,,—yds
Of1AlUTITY U(lANI`rtV ; : ;
`OUANThTY PHUbUCT
';.
"PRODUCTDESISiIP�7DW: ` `
UI111T-OF •UNIT' . '
': EXTENfDEO `
fWISIL'•OAD. •`•:e,.•:OAIMOd:
MFASIJt •PRIE E
:PRI E'::•
C
�1em.Oro
:.';: 73101 0 P IPLA na�r ; I75
;�s►
. L0/Yi3
'.
ea
:.
_... ..._..
�..,w�nr.
Truck ft Plettt It
Slump Due at Jab
Use of Concrete
' .. •• ,'�UN10Tlll'��w
CalclE5t9 Air EMIn
33per Plas,
Drivers Name
:., •U:.�vONER,TESTED
„;; .. :::iM'FTkI�; 3:AMES
Delivery Instructions
ma,
1 % 101) kvctlmn wkex-L
ORIGINAL
08/18/2008 21:06 561B819?P7 RIVIERA PAGE 10/11
13
lso w r.itp
l0r�da
. *•:.�����Nl�1�111 �� rGroU ,F�4��S�B1�►d.Mat�idl
S �a o
�U�►� �. ��llll�.. 80
qg )nft/ws of Pq�hrts of Pub acor/Purclf p���l T
a
gRRIVAr (lM" u ftee0'1.9enr az,o AAdnf r�4uoe� Infflars Of
K'&'d plrr�
STgRT poVR TIME rlN ng ftat0" Of ""rL et Pdn hg$er/Pur; c
fAS�p',UH P N p(o)
�R Trlyf so�/PuhFrkser.
AUr�pN!! r�R
"rae 9ro h 1
t wq m ti mM
ont
Cam Oed .9k1 h eye0 w Ce`Oe�+tl �me"►
tree k*POAredl Mbritres gareet ;' o �pUy W hb 0rnendZ11)• �?�old ra ON
in
mrt�1enr• 8q "h 4%p 6Yes• rrn water, lr h nt c Hvey,�
Pe?VQle "fls Mnypf or g ; 'of Prom rAlnly � f Nro ,�!
at
lrhlftclnjjm
A oreaq, L' 9�Oull l jrh0 rele, Of oej Creg Pt 'll edq ` nt,,, - �n�n
he The on, a of a oI eu� ro
r 4atorldlsdno, e 0 d b sale y 0� a ny soef@yoDOrt aft..,
o Pu� &Otlpf �'
Pro urdr
9 YARDg 9ble Upon,p9u� �41 lOsder u �k lo of �ho�r an
e ;71il�Dk�� both p ran/ .7'dh 9rA�(��I'
s At3
or
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i C Wq R/OD OfMl9}
08/1'8/2008 21:06 56188190c"7,
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1111�1�11�11.1� �IFn
RIVIERA PAGE 09/11
Continental Florida Mater als Inc. 1705824
13450 W. Sunrise Hlvd.. Suite 430
Sunrise, FL 3332:t
Tel! (954) 85847iu) CAUCII )NII Freshly mixed cement, mortar. UNLOADING Driver are pmSbited
concrete tr grout may cause skin Injury, Avoid from dell"fing cone els except undr^r tits
contact t d1h eyes where possible and wash hack's own pownr. and where sla conditions
exposed ikln areas promptly with water, if vny pennN the We And proper operation of his
cement n Ixtures got Into Irinse immediately equipment. Drivers arq not ponnilted to
and mpet redly wllh water and get prompt modirall add water to the mix nor to go beyorw the
Irestmsr I. Sawing. or prinding of concrete curb Ilhg, except upon the authoAxallon of
rnagonry units may result In the f0ieaee of duel the Pus ofr/ekrior any lase ortde arts.
pelotas vhlch, without the !Ise cl propnr eye or somp.
FORT PIERCE t8) CONCRETE PLANT rc4pirsta y oroisclon, r^ould cauSr^ aye or nose I acicnowled!Ie that I have rccnlved dnd
Irrllation. The MalOrlel Safety Data 3"Itts for accepted the mat"rfels asm on thl; ticket.
3778 SELV iTZ ROAD
the pro luem sold by Contlnonial Floride I undoratI onnd R9W. to the farms On
56 1-464-7Shr4
Curb line crossed 4 72.4sedpurch3ger', Agent request. Initials of Pure118sCr/PurCnaser's Moterlall Inc. are a.oimbie upon request. born the front and brick of IRIS t TDTAL
Agent YARDS ON TRUCK/GALS OF WATER ADDED ADDED
Initials of PumhasoUPurchaser's Agent acknowledging addition of water at Purchaser/Pumhasoes 10
a 7 6 d 3 2 1
Agent request.
ARRIVALTIME START POUR TIME FINISH POUR TIME LEAVE JOB TIME
IM;� -� PURr:HASER' �.
PURr :HASERS AGENT
TIMMKL•TED DATE,, -'I TICKET
pURCHASERIPURCHASER S AGENT P.O. LIMBER / ORDERED BY ZONE JR1 NUMBERIIII
�
@6/@3/11 1352468
5836931 1 ..--�--
SOLO TO DELIVER TO
ORDER: IG
TNT BUILDERS OF SOUTH FL LLC
17E)@@ WPGONWHEEL LANE FT
Crylcrete Dispoartt: -- —y s
ANTITY! PRODUCT' : , :: ' I
I
• .PRODUCT DESCfi!k �ION:•r. , : ~ ::UNITOF '. 'UNIT. DREiJDF,D
P.mi; : PRICE'
,
IUANTRY�, :f ' 011Af�!{11Y OECIVEHFur '; • :
Ni5LOAD= ; °1)Ri3bW'
Wall
.. : I!" .
'rl@i 'J47...;.rciWY!►:@RI��y J..i,7!lJfiYyffl?•.i'i;{;}>f•':�1LJJr'I W��ti':J�4.ly..';;i_�;
�?JVJ,!fJ•W,'��11i?11�:�4.��:G�';Wf!:l•Sf,��Gl7ULt'I�.�Z'1.r7.S`.�.: ., .�. �• +�
G ATED fi5 LEI 'D e
025
HEER 1190.1
�.
;ENV-f:F_ •-
Trunk If Plaid it slump Due at .lob
Use of Concrete
•.
L__�L
Godfrey : TMA
CAIr..IfA�yi Air E11ttQin jper Plan, Driver s Name ._,:YLI.00NCREfE•TESTED
•'Wi.nq.f,l•eId,.
ORIGINAI
08/18%2008 21:06 5618819207
conTmEnTm
HEIDELBERGUAAENTGroup
RIVIERA PAGE 08/11
Continental Florida Matei lals Inc. 491 1705825
13450 W. Sunrise Mvd., Suite 430
Sunrise, T-L 33323
Tel: (954) 858.07111) CAUTIM11 Freshly mixed cement, mortar, UNLOADING Drivers ale prohibited
concroro hr grout may cause ckln Injury. Avold from delivering wricrete except under the
contact r rith eyos where possible and woSh iruciis own power, and whoro die condition^
expognd ikln aress promptly with water. if any permit the safe and proper operallon of his
coment n wvro^. got into eyes, rinso Immrcilyteiy squlpmont. Drivers nro not permitted to
end mpat redly with water and gat prompt medlCnl ndd water to the mix nor to Ao beyond the
ireatmor I. Sawing, or grinding of concrete curb Ilno. except upon Ihn authorization of
nlnwry inite may reGUll In the release of dust the Purchasof/Purchaser's Aqnnt and Na
FORT PIERCE (B) CONCRETE PLANT peruclee vetch, without the use of Draper aye or oce,k o ,knowledge
of risk for any loss or tlpd an .
respiraloi f protection. could Cause eye or nose r or that 1 have rapCrvpd end
377E3 SE1.V ITZ ROAD`*- irritation. The Matorlal Snfary Data Shoals for accepted the materiels 11W0an this tbkN.
3y ((�� E� IT4 the prof vets cold by Continental Florida I understand and 8.4reP, to the term: On
Curb IIrT< r,tA�at PUrr r12 rlPurohe68f'$ Agent r9qu t. Initiate of Purchaser/PurchasePs Material- Inc. are available ut)on rnquesl. both flip front ant%back of thiS Iirkor.
TOTAL
Agent wATER
Initials of Purchaser/Purchaser's Agent acknowledging addition of water at Purchaser/Purchaser•!: YARDS ONTRUCK / QALS OF WATER ADDED ADDED
1"T
to ® 7 6 5 'o
Agent request.
RACcP•enT am is TIAAr FINISH POUR TIME I,F_AVE JOB TIMEp?
hURCHA5ERIPURCHASER SAGENT P.O. NUMBER I ORDERED By
SOLD I?36931 • , , ' ' I • '-
z0%
PURCHAUL_ru I �G�//
PURC HASEA'S AGENT , V
JOB NUM ER �NETICK@T@D DATE
DELIVER TO
06/03/11
ITICKET
1352469
ORDER: 1Q
TNT
BUILDERS OF
SOUTH FL
LL.0
171100
WAGONWHE3EL LANE
rzeYeDlsposal s
GWUtilTlf
::.'.QllA1Il�ITY•
QUANTITY
JJ
PRODU4t ODI1C1'DCSCAIFfIDN':
' � ..
!�111SLOAD�•."�'••?O�IiDGHEU'••.:I:•'OIL•IRERED's:...::.,
•`;
.'
:.
CDDE'.: � �_..._�I•.• '':'' '.•'�
.'::�.��".��'.
�,. ,' "�. '.�MIEAI�•�•:"AICI:••
•
y�5: -3.. SMCF��:: ;r::.:3¢i��1,:.F�aI;':r:@;'Pg-;DAYS.REGIII•:AR'
'' y
1i0.4�0
100.00
4D.00
5025 FIBER FIBRILUITED .75 LB/YD
ea
............�_,....
>•.�;-•..::..f..::;,,.;•:..•.•
__,•::...:rr,...r.r•,
-�•�--err- .....
�nrs^n�.cc;.J
..
-e ";`.'?r�'t ray:giF �ir�:s:-. :. ..
�- L:°�•. .:h,".:
... _ •;_ _
-
EIS:..
•
Truck ik
Plant 0
Slump
Bile at Job Use of Concrete
' 9df l OTAL ,
CaiClu ��
Air 111In
5�per Pies.
Driver s Name
::..TAX
U .�ONCf3ETE TESTED . $•ONES,. JACOB
:fOiAL
Delivary Instructiona
ORIGINAL
08/18/2008 21:06 5618819207
HEIDELBEMCEMENT U'ou p
PAGE 07/11
Continental FlOrida Matt trials Inc. 1705826
13450 W. Sunrise Blvd., Sul *.a 430
Sunriee, FI_ 33323
Tol,'(954.) 858.0780 CAUI ION!! Freshly mixed cement. mortar. UNLOADING Ddvere era prohlbIted
conernt, or qrout may cause Bkln Injury, Avoid from delivering concrete except under the
contact with eyes where possible and wa9h tn,ck'¢ own power, and where site condillone
exponnr Rkln arow promptly with water. If any permit the gets and proper operation al NS
cement YiNtures get Into eyes, ►incn immediately equipment, Drivors nro not pormllled to
and rnp-,atediy with water and get prompt medical add water to the mix nor to go beyond the
treatms nt. Sawing, or grinding of concrete curb line, except upon the authorization of
masonr vnlis may result In the rnlon4n of duSI tho PurrhQSo►/Pumh9;nr'g Agnnt and htR
FORT PIERCE(B) CONCRETE PLANT PlIftlet which, without the use of proper eye or acceptance of dak for any toss or demeps,
ro3p1rat,-ry protection, could eaune eye, or nos? I oeknowfrdgG er,91 IF have, mcelved and
377E •SELV•ITZ ROAD.,, Irritanor . Thn Material Safety Data Sheets for accepted As mare/tale lfsred on this Oclref,
s6•i-'4FsrF--7?4+4 the pre ducts sold by Continenlal Florida I undcrVa"d and 99wo ro fitc, tnrms on
Curb fine erot,ed at fiurehasgrlPurCheset'S Anent request. Initials of Purahazer/Purehaser'n Malerla i Inc. nro evitlahle upon request. bath the fronr and back of th/s Ocher.
Agent TQTAL
g WATER
InitlalB of Pun:hsRer/Purahascr'S Agont acknowledging addition of warpr at Purrhaser/Pur&aser'it YARDS ON TRUCK/GALS OF WATER ADDED ADDED
Agent request. 1 tD 9 B 7 6 5 i 1 9 F1
ARRIVAL TIMC START POUR TIME FINISH POUR TIME LEAVE JOB TIME
m, I rj�
PURCHASER/PURCHASERSAGENr
5836931
SOLD TO
�
P.O. NUMBER / ORDERED BY
1
TNT:,:.S.IJ:I.LwDER.B•:.@F.-SGUTH:; FL.:LLC
RIVIERA
PUH#;HA5EH/
PURL.'HASr:R'S
ZONE I JOR NUMRM
DATE
1 06/03/11 11352470
DEI.1WR TO
ORDER; 10
171WO WA 30MWHEEL LANE Dlsposnl;
OUAfdtll'Y = tj0' Ak TY; ' :: r'.:
OIIJINitY' ' .:. ,
'PRO> CT
PROOIICT DES�RI{'110N'
:= 1)NIY OF: r UNit`; .
' . `EXMIDED.
T1115LUAD : i,• •�r DFIIS�REO'; ''l)ELIVE(�ED:
: CtlDE .. .' . . `
- :,:t : • .:., .. ' `, : :' ...
: MEIISU ' .. PgICE.:
'
�'.;1.tb.;1QQa. •: •� `1:1¢�0.•0b';
•�` •
�.305MG�a;::1::':'•:
r= i3Q%0.`'.PI�I:• i@. •t''c9.,:I)AY�.�i�.�EGULAR,
10.010 100.00
•:•��1:;�J0•,
50.00
Seas
FIBER FIRRIL4aTED .75 LB/YD
ea
,;;- -
,,._'
098•
'9 49.
.JED
FUEL:P.
-,ENV - Etc
,>
,..,::::•�„
Truck it Plant q
Slump
Due at Job .
Use of Conmin
• . : 511fItpTAL.: ,
Calc12%;2 1 Air. E113in
3sper Plas.
Drivor s Name
❑ CONCRETETESTFD.
SMITH, JAMES (NMI)
.'•'TOTpC;
Delivery Instructions
ORIGINAL
Sooclal Instructions
08/18/2008 21:06• 5618819?A,7_)
conTinenTA-�"
HEIDELBERGUMENTGroup
RIVIERA
PAGE 06/11
Continental Florida Maier] AS Inc. j 1705828
13450 W, Sunrise Blvd., Suite 430
Sunrise, FL 33323
Tel: (954) 858-07813 CAUTI('INII Freshly mixed eoment. mallow, UNLOADING Drivels env prohrolted
concrete < r grout may cause SBIn Injury. Avoid from delivering Concrete excopr under the
contact w th oyes where possible and week truths own power, and where site enrrdilrorrs
exposod s do areas promptly with water. B any pnrmlt the Soto and proper dporallon of his
cement ml Jura- gal Into eyes. rinse Immediately equipmonl. Ddvers ors not permitled to
and repeal idly with water and got prompt medical add water to the mix nor to go DCyond the
treatment Sewing, or grinding of concrete curb line, 0=0 upon the auttwrizadon of
masonry t rills may result In the release OF dust the Purchasrer/PurcNmer's Agent and W
articles H nlch without IN two of proper eye of iccopiance of MIR iw any loss or damage,
FORT PIERCE(B) CONCRETE PLANT p
raeplretorl protoCHon, could cause aye or nose / echnowrrdge that f twrro received and
i778 SELV I TZ ROAD Irritation. ''lie Material Snh ty Date Sheet3 for occe.pled the nrpfndere listed on tlu>r�re et
the prod lots Sold by Conlln9ntal Florida f under'. and and aQM,e fa the term,- on
56,1, .4 '% " .• r• r r• MalorialC no. are evallable upon request. pofh the rronf and back of IN, Ilcket
� Initials of Purchaser/Purchaser's q ___--
Curb Ilne troSse Pure aserlPuroha9era AOen r q e, .
Agent YARDS ON TRUCK/GALS OF WATT
Initials of PurchaaeriPurchasor's Agent acknowledging addlilon of water At Purchaser/Purchaser's p 7 6 4
Agent request. ARRIVALTIME START POLR<'IME FINISH POUR YE LEAVE JOBTIMt,Y..
rUHCHASITYPURCl•IASER SAGENT
P.O. NUM01ORDERED BY
ZONE JOU NUMBER I TIMVICKETED
Il
TL• � I 11CKET
036931 I
1
�
/►T3/11 1352472
SOLD T�
DELNEI� TO
ORDER: W
fMTL: HU'bl.�1s1ER5: OF.
SOUTH FL : LLC
178410 WAGONWHEEL LANE
� Fj DiApnsal: yds
0(WI(1111Y::. ' OUAN-TOY' • .::.
OUANTITq , ". > ' PRDbI�CT', •'PROD0r.TDE5CR1P 11W.
ITOF= ': t•MG
iiNS 4tjAt) :.' dRDEAED `' ' : - '
9I1lVEAHD'•" Z `:: • tOOJ `.'MEASt1RE'•
:PRICE''
;.•�� G0: �_
�
•,.�5+0.fGQ+� •-:::::
'30.51MC:' �.: •:; t:
;.,:. 3ftY0f� PS't. @� 29 � Di�YS� . REGULAR:.:
cy. , ...'
� � ..
10.00
_.,';�:2�i.•.��'
1o0.@@
60.00
3025
FIBER ri9RZLL(TED .75 LE/YA
ea
..�.ny.-
, .•�
.. �1:7. .. ...
- _ :I:
w•�..
--509IB_• r nry.•'�
•r'WG^-4^ii•%�.l?I: ' ..
any
'W
1
.Y ',.�s. .\„` '�
Truck >F
plont 6
Slump
Due at,lob
Use of Concrete
' • $IIIITDTA4
'
Calcle519
Air Egt3ln
93per Plata.
Drivers Name
TAX'
0 CONCRETE -TESTED.
• • :: SMITH, JAMES D
_roTnt:'
Instructions ORIGINAL
08/18/2006 21:06 561881920
HEIDEL,BE.RGUMENT Croup
RIVIERA
PAGE 05/11
Continental Florida Ma"erials Inc. '
13450 W. Sunrise Blvd., St ite 430 17
SUnr(ac, FL 33'823
TO (954) 858-(I.180 CAH,rIONIi
FORT PIERCE M CONICRET'E PLAINT
37178 SELVITZ ROAD'•
Curb li �fbEs��at p , per/Purvlja9er'S Rgonl regUosf.
Agent Initials of Purchaser/Purchmor's
Inlli Of pUr Cl,Asgr/Pu,chaser's Ag
Agentnt request. Grit acknowledging addition of mor at Pureh9ser(Plimhasor;: ARRIVAL TIME START ono In
• Fre"h)y minted cemgnt. mortar,
conere a or grout
UNLOADING Drivers
mey ceucs skin Injury. Avoid
cOntac with eyes whero possfblo end wash
from rlelivednp eoncrote Oxce} ,e
exPese I skin arela promplly with minter. if an
cement mbtures pet Into eyes, dnn
Uvck'c ° power, end where Glib .rnejlk)ng
operation or his
Oriver
Immodfelgly
and rep :atedly with wetor and get prompt
oq plmB are n t armllted to
medical
lreatmt nI. Sawing, or grinding of concrete
masonr• units may
add wator to IMo mix nor IA o
curb line, Oxcepl upon }tie (11111100.91113nanhe
line, oxcepiuroon the
rosull In the relo9ae of dust
which, without the uca
the Agent end hoof
e
rosp(Dartloi, s proper ey0 or
ro^prreu ry a Material tSaf cause eye
irrftetion The MatGtlat
naor
ecceptencc of rl;k for nny io s or demego,
t acknotv/edge thnf I hove �a/vpy
Sefory Data Sheets for
a
thg pre durta Fold by Continental Florida
and
awe tad ft mdledaro Ijoh""J on this tkYre(
Matnrleh; Inc. Are nvalinble upon request.
I understand and agree. fo !hG rerms oil
bad, the rronr and Uack o1 this fare.
�• A S.
A�YARDS O TRUCK/GAL3 OF WATER ApbEp wTR
e4 a Aono
/ a
PURC
PIJFICI tASP-p'S AGENT
TfIV>ETICKER-b I mr tlCm
WAGONWHEEL LANIE
TFI151:0/i6 ,bh" :utuuvn7w pR0Dl1CT. - - .. ,
ellvery Instruction,
oecial Instructions
5/03/11 11362473"
ORDERs 10
Dlgposal: Yds
'D WEAFW' •� : ?A�OTICT•DESGgIp.T(6dl•• : , , _ ;; ; " -
.•....
UNtT DF' � � UNIT` ' "`F.)GtENtlEB:
>;:::;fO;•F?Sl;u.l@:.:g',,I►aY9,; FtEC,UL A
FIBER FI19.RILLAT'ip .75 Lb/
[)rivera Name
s Hal
t?a
.' .S'UB:1r0TAL'
?W i�ap
08/19/2008 21:06 561881920
conTinenT
HEIDELBERGCEMENTGroup
{<rojY �"'�I;1��� ��' �I� �li �I��•i'III• I� i ��v{�.',
RIVIERA PAGE 044/11
Continental Florida Materials inc. • 1705830
13450 W. Sunrise Blvd., Suite 430
Sunrise, FL 3337.;1
Tel: (954) 858-07111) CAUTI-M! Frostily mixed cement, moner. UNLOADING Ddvera em prohibited
concrete ur grout moy cause sldn Injury. Avoid from delivering concrete sm01 under tho
contact t dtlt eyes whore pognlble and wot•.h trucks own power, and where site *W11lons
monad ildn arens promptly with wetor. If any permtt the sate and proper opomtlon of hlS
cement n Mures get Into vyrt., rinse Immedialrly equipment. Drivers Pro not permillrd to
and rspet tediy with water and get prompt medical odd water to tho mix nor 10 90 beyond fro
treatnter t. Sewing, or grinding of conar0t0 curb ane, oxcept upon the suthortzation of
masonry inlis may ronull In the reloasr, of dust the PUrchaser/Purchssers Agent and his
NI I ^ vhiclr without Ih0 U'•e of proper eye or aeceptanco of risk for Pny bw or Onimp.
FORT PIERCE(B) CONCRETE PLANT ru C0"
resplrPloly protection, Could cause eye or nose I pCJenowfedge t118I I have reCCNed end
3778 $ELV ITZ ROAD irrita(lon. Tho Mbterist Safety 0011 Shsate for jmrpfed the ma►eda/9 tlstnd on lhr9 sc)la►-
3778 SELL ITZ the pro.lucts sold by Continental Floridn I under, -rand and egrre to the terms on
Curb line crossed at PurchasertPurchaser's Agent request. Initiate of Purchaser/Purchasar's Materlala Inc. arC available upon reglJest, bolls Ilre /roof ;rnd bec/r of Ihis NcMet.
TOTAL
WATER
A t ADDED ADDED
on
Agent arknhWledging addition of water at Purchaser/Purchaser:';
YARDS
ON TRUCK/GALS
OF
WATER
Initlely of Purehasrr/Purchaser's
' O
A
d
7
6
Agent request,
ARRiVALTIME START POUR TIME FINISH POUR TIME LEAVE JOB TIME .,
IF_ i-.
(ry -, PUR(AER'
l/X _ PURLHASERS AGENT
PuRvASEAIPURCHASERSAGENT RO.NUNRiER/ORo131EDBY ZONE J03NUM^ BER TIMCTICKEiED
T,•.;,
710
5936931 ' ':.. •.., ,..:.:,:,1.:,; .. �; .:.. , .
06/Q3/.l1
1352474
SOLD TO DELIVER TO
ORDER; 10
TNT BUILDERS OF SOUTH FL. LLC 171100 WAOONWHEF_L LANE
rnFT
_ ydsC
:pUJUG'
dete
'.
T.DO• ljNq;RPRO[UCT
NFdUANTIN
ASM. ::PRIG
bHbE4V'-' ;C. . '
1fYERf!;•5;eas''��#;: .... ,�•t
�•� r firEaffC:riOi(Qi%r�.•'v
.�, '.�
M. 7R5EG"'I_I8`•�/vA�.,c
ib;.�i�' SYr FI@ R1=�I'9'RILfL4iI:;'
—
t _<< _•:,>•;_:, .: �.• _ ; .-::;�:�'�. �0$�iP:.:.1:..c. •: :.FIJE.L--, t°t,��s,�, r - • • _
'.
-
s : - • .
FEY .'
>•• . ,
Truck # Plant # Slump Due at Job -use of Concrete
C310IM12 Air Ellt(Bin Wer Pias, Drivers Name __
:; TAX
C-100NGREfE:T£STF_D.-•-.•.:,.., .W7tt9.fi21d},..God.frey
.TOTAL
Delivery Instructions
ORIGINAL
08418/2008 21:06 5618819207�
conTlnsn
HEIDELBEXCEMENTCroup
RIVIERA
PAGE 03/11
Continental Flal•Ida Mate *lals Inc.
1705831
13450 W. Sunrise, Blvd., Suit 1430
Sunrlsa, FL 33323
Tel: (954) $58-0790 CAUTION!! Prnshly mixed roment, mortar.
UNLOADING 1)&om ara prohKod
concrete or grout may cause skin injury. Avoid
from delivering concrete except under the
contact Nith eyes whore possible and wash
if
truck's own power. and where slklcondltlons
the Safe and proper operation of his
exposed skin areas promptly with water, nny
csmont r dxiures got into oyes, Ones immndlately
permit
equipment. Drivers are not permitted to
and repo dedly with water and get prompt medical
add water to the mbr Ito g��;onildthe
treatmo it. Sawing, or grinding of concrete
unite may result In the release of dust
n
curb lino, except UPOn
tho f urche9ar/Purchaser's Agent and M4
snicles which without the use of proper eye or
ncoeptance of risk for any lose or damage.
FORT PIERCI~(•B) CONCRETE PLANT' p
reapirnlc.y protectlon, Gould cause eye or none f acknowledge that 1 have rBeefved and
3778 BELV [ Tz ROAD Irrltatlon The Materlat Safety Datn Sheets for ormpred the matadors fiend on this ficket.
!� 7 the prcducts sold by Continental Florida f undor;tand sort pgres to fhc (sans on
Curb line 6�sst�at PBr?tear/Purchaser's Agent request. Initials of Purchaser/Purchasor's Material - Inc. arts available upon rsquost. both the Ironf pod back of frtLa NclTO
WATER
A ent neure*eo Annen annEo
4
InlUels of Putrdlaser/Purchaset's Agent acknowledging ltddillon of water at Purchaser/Purchaser's;
Agent requcst,
ARRIVAL TIME START
Z---1LJL1CP�OUR TIME FINISH POUR TIME LEAVE JOB TIME._
PVRr -,HASERf
PURt :HASER'S AGENT
S AGENT I PA, MJMBER/ ORDERED 8Y ' I ZONE I J(hR NWBER
TMIETUEM I DATE 1 / 1 7 MKT
836931 I 1 I SOLD DELIVER TO 06/013/11 '135E475
�
ORDER: 10
TNT BUILDERS OF SOUTH FL LLC
17000 GONWHEE
f Wtr LL
ANE
rcwf� Dlspasal tbs
:;" Ol1AIVtIIY;:, gUl(NNI PRObUCT ' • , -
�PRODIICT•DESCgIpTION1;. , : - - • UNHIP :UNIT . sIiX11 NDEd
1]I)ANT(IY' t
PHISLDAD ',:...6RnEM�,r : :0 0.::.; : tooC: •°••• ' .. ...
.: ''
?IVip/�URE~:;''.PRICE''
PRICK'
_.........,.._..:
;:,..��:<01Pl�.st�•�:
. _.:......
•i00><:�ki41/t:=i9tb:00�,:::¢,I:::,,,t'�P�S
........., ..
MGr,�:y� `�.e,:.
q;:�
I.: •
3410ib�; P1�L;:Lk?� DA11g•, •RE ULRR.:..
1@0, orb
90.00
,.
5025
FIBER FIBRILLATED .75
LB/YU-
ea
- -
— ._?..
...T...�;t�rr.: • -
�5?•�i�9Vi'.ywe: ,�+x:
;.P,T�yiJ��•V:s1ilY,:7. �.f i r'• _.. :.f. . i
Truck q
PlAnt B
Slums
Due at Job —
use of Concrete
r `• ..., .. , ..:
SU8ti0fAl'
Calei ��
Air Ellin
titer Plas,
Driver s Name
tAk'r
.O CONCRUETESTED..:•...•.., ...•JUNES, J.ACOF3
: TGTAL
Delivery tnstruetlons ORIGINAL
06/1-8/2008 21:06 5618819207
conTinen 1111, L
HEIDELBERGUMENTG•rbup
P.4IItIJ�IIr�I 'I�h��l�r?I+::: •.
7
RIVIERA PAGE 02/11
Continental Florida Materials Inc.O J� 8
13450 W. Sunri.sn Blvd., SU to 430
Sunrlse, FL 33323
Tel: (954) 858.0'780 CAUL IONII Frealtly mixed cement, Mortar, UNLOADING griwl9 am
concret, fir prvut may cause skin injury. Awld from dellvrxtnp concrete except u�nod�e�p?e
confect will? eyes whore possible and wash truck's own omv, and w
expose[ skin areas promplly will? water. 11 an p 1>oro t�linn oIrons
camenl nlxturm el Into eyes rinse Im y equip file , Dr earl proper t permitted
d Ma
and rog atotliy with water and pet prompt tnoldlcsl Oddlweter I0Dthe MIK nor ivord are not
t permluod to
treatrtl9 it. Sawing, or grinding90 beyond too
of concrete curb floe except upon the exrt1-11 f
maeonri units may result In the release of duet ti?e Purchaser/purcftcsers nQent and his
on
FORT FIERCE (D) CONCRETE PLANT particles which, without the usn or proper eyr. or aceoptttncs of riot/Pu for any lose or damage.
3778 SELV.1 TZ ROAD.— rosplratt ry protection, could eauso eye or none I ecknowfodge rhnl I have roeeAed find Irrltallon The Material Safety Data Sheelg for errovw the maredels ftieW on /It6. flcitet
.I.106 �( "'ti' -'`'' �" '• :' the pro Jucts 'old by Conlingntal Florida I undernMnd and agree to the renns on
Curb line' drosses! et'Purchasei/Pritr'haSer's Ageri! fregdefst, Initials of Purr h9aedPurcha-Ror's Material: Inc, are avaliabie upon request. Gplh the lmnf end black o/ this gGret
Agent
INURIS of Purchaser/Purci?asor's Agont acknowledging addition of water at Purchascr/Purchaserh _
Agent MqueaL [T�T
9
ARRIVAL TIME START POUR TIME F10H POUR TIME LEAVE JOB TIME
Irun1a11,♦srt FURCHASERSAGENT
P.O. NUMBER/ ORDERED BY
47 PURC
70NE JOR IVAER
a tds a ae
/
'S AGENT
TtVlE71CHET1� DA-M
5836931 1 1 �
SOLD TO DELIVER TO
;:.;�Mk�:,}BFJ;LI�DEft$��BF•><S(�IJH-f•Is, l:�:C 1791D10 WAG ]NWHEEI_ LANE FT
(Mcre
DtdAN11tV• :: • .. ,.:.;...,_.�...._..........:....,.,..,.,. taDieposal:
TICKET
'1352476
ORDER: 10
OtIANTTiY: :..:;'-DuAN�17Y'. PRdDUT.PRODUCibES iIBN'— ;.•,.,_.....:...
fif{I5C4AU'.: ;?';'ORDER�d`•'t DFfIbE'RED •''= •f;OfjE? �`•'1,: ;.UNITOF
.. i "llNtf F.KfEND1D'
.. _ .. .. .. •'NIFASUpE.' • ••:IIRIGE` ' � PRIG•• `:'.
rids
x..�a•:. 10�0.0�. sus R�Uptt. "y::::° . ..•.'° W,'.'Nt1(''t
Fxp"q '��fitLLH;'Eq .75"LB/Yb ea '
Truck 8 3Og9'' 1`• :':' •E'NtJLFE�
Plant ii Slump Due at Job Use of Concrt?te
Calcifto7 Air F. train '.�119T01A'L
brarPlas. Drlvors Name ,
••••:.I.':. •,.•• .:., •:O.;E4�NCf�ETE_TESTED
W!1•LDE$ •,.,, ;U,;•r�X;
,.,Y...
Delivery Instructions «� TOTAL•.
Special Instructions
r'%olr rMIAr
08/1°8/2008 21:06 5618819^y7
nTinenTi��:r-
HE1DELBERGUMENT Grou p
},:::..:�•.i��u������i�ai�i������������ir����� fig:..
tea-'`' t::4• f . .
RIVIERA
Continental Florida Materials Inc. P
1705834
13450 W. Sunriso Blvd., Suit g 430
Sunri9e. FL 333P'.1
Tel:•(954) 858w0780 CAUT- ONI I Freshly mixed cement, mortar. UNLOADING Driver errs prahlblted
concrete or grout may cause akin Injury. Avoid from dofivering concrete except under the
contact with eyes where possible and wash snick'eown pomr,ondwhwniioconditions
exposed skin areas promptly with water. If any pwmil IM! :ate and proper operation of MS
cement i ilxtures get Into eyes, rinse Immediately equipment. Drivers Oro nol permitted to
end repc atedly with water and get prompt medical add water to the mix nor to go beyond the
Ireatmn it. S�iwing, or grinding of conefoln airb line. except upon the atithorifalion.ot
masonry unite may result In the release of dust the Purehe9erlPrirch0,:0r' Agent and his
particios which, without iho use or proper aye or implance of risk for any km or damage.
FORT PIERCE(R) CONCRETE PLANT
resplratc ry protection, could cause eye or nose I acknowledge Mat I have rorolved and
3778 SELV I TZ ROAD Irritation The Metteflal Safety Data Shoals for accepted rho owfegslF 1Lcfed on We fldret
J d� l the pro iucts sold by Continental Florida I understand and agree to tho loans on
Curb Iln s a^Pur7r 4 ser/Purchasoes Agent request. Initlafs of Purchaserlpurcheser's u Material : Inc. are avelleble upon request. both 07o fitrrlf rind 0.9cle of diLG fldref.
Agent TOTAL
WATER
Initials of Purchaser/Purchaser's Agent acknowledging addillan of water at Purehaw ur>;fiuser s YARDS ON TRUCK / GALS OF WATER ADDED AQDED
Agent request.
Ito• o a � 6 a o a 9 � kj
ARRIVALTIME START POUR TIME FINISH POUR TIME LEAVE JOB TIME 1 f
P.O. NUMBER I ORDSO BY
5836931 i 1
SOLD TO
ZONC
PUTA:HAStH/
PUR( HASER'S AGENT
PAGE 01/11
70B NUMBER I TIMETICKM I DATE TICXLT
DtiwR TO
06/03/11 11 52478
ORDER: 10
::•'i NT-,B(JdL<AERS r UF._•S�IJTW:<. FI�a :LLC I 170001 WAI iONWHEEL, LANE Concrete D
-QUAfJTiLV'.• '" 01111NiIlY QUAfJTITY .. , f}HObUCT .. { PRODI1CTflQCRI� PION= UNITi P , .:•UNIT: ' • . " :LxiEKIOEa: ' '
'YHIS'L'dAU�'.: "i�f1DERED'r` ;�dELallliED.��- -:d00C� ' .. "• "l`•• '� �1NFJaSURE�' '�pf�lEE�•�•:•'•••-' ::'.k�iiC�j'.:'.'.
•',`:45�.._., :�•-��T���S;m°,-..<.���i�C'...-.•....., •���rrTm��p`'�z:� �:"�A: ���vG: ���uir�� ... �y • . _ . .. .• : •.,
1liati:0 li�.5rb' 52t'8S FiBEIZ FI�RII_LI�Tf=D .75 LB/Yl� ea
7.
�rw ..•114:I':n ,. tin Pi•:{J71•Y•r.Fr M-;. �ii'i �1,Yi�:Vr Kris.TA'.11E�i :!aT,•irTFUE6, -.. ; _.. , ... ..
,. .:,.
Truck Plant Slump Due at Job Use 0• ftjQ..LOAD 1;HG• (READY MI '
CelclEW4 Air- gIimin S3per pias. Driver 9 Name
:E CONGRETI3.TE5.TED ..,:...:..:...: Ad'i"3•'aT Ad811f5 TOTAL:;
OWINAL