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HomeMy WebLinkAboutSUBMITTED PAPERSOFFICE USE ONLY:•; p , T DATE FILED: PLAN REVIEW FEE: RECEIPT NO.: 'Z1 PERMIT NUMBER: t7 q i7 CONCURRENCY FEE: RECEIPT NO.: CERT. CAP. NO.: 3. 4. 5. 9. 10. ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED PLANNING & DEVELOPMENT SERVICES DEPARTMENT BUILDING & CODE REGULATIONS DIVISION 2300 Virginia Avenue SCANNED Ft. Pierce, FL 34982-5652 BY 772-462-1553 �,1�_ (j'b• St. Lucie County APPLICATION for BUILDING PERMIT CERTIFICATE of CAPACITY/ZONING COMPLIANCE PROJECT INFORMATION LOCATION/SITE ADDRESS: PROJECT NAME: © E,n 571e° d SITE PLAN NAME: PROPERTY TAX ID #: LEGAL DESCRIPTION (attach extra sheets if necessary): PLAT BOOK_ 6. PAGE NO. ` 7. BLOCK NO. 8. LOT NO. PARCEL SIZE (ACRES/SQ FT.): LOTDM ENSIGNS:. 97? /7 X /05 COMPLETE DESCRIPTION OF CONSTRUCTION PROJECT OR WORK ACTIVITY: AMA �{,� 417k ;s- 11. , SETBACKS (ACTUAL) FRONT: 107..E BACK: RIGHT SIDE; �' �LEFT SIDF-' P--.-'0� _ 12. 1 OF CONSTRUCTION (Check all appropriate boxes) [-7NEW CONSTRUCTION [ ] EXPANSION/ADDITION [ ] RESIDENTIAL { ] COMMERCIAL [ ] OTHER (SPECIFY) 13. - DESCRIPTION OF PROPOSED USE: S'61 [ ] INTERIOR RENOVATION [ ] INDUSTRIAL 14. SQ. FT OF CONSTRUCTION: XS O ° 15. SF. FT 1st FLOOR: f- 16. VALUE OF CONSTRUCTION: $� �'s`'�•d� The value of construction is used to determine the amount of permit fees to be assessed. St Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures arenot consistent with similar types of construction activities. If the value is $2500 or more, a RECORDED Notice of Commencement must be submitted with this application. SLCCDV Form No.: 001-02 UPDATED 6/25/09 OWNER INFORMATION NAME: u ADDRESS: tSr�O 7�S/�,. /C'�✓�.�°/a'' CITY: R/ V ie> STATE: �/�4 ZIP: PHONE (DAYTIlIZE): C--} -9 Email: Z&4 IF THE FEE SIMPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE FILL IN NAME AND ADDRESS BELOW. FEE- SIMPLE TITLEHOLDER: ADDRESS: CITY: STATE: ZIP: PHONE (DAYTIIMIE): LU CONTRACTOR INFORMATION ST. of FL REG.CERT #: ST. LUCIE COUNTY CERT #: BUSINESS NAME: 6r: QUALIFIERS NAME: r ADDRESS: . .z:? 15 J -kou h6wir,l CITY: AA STATE: .4/ ZIP: PHONE (DAYTIME): 7� _� � � FAX NO. XJVV .- Email: ARCHIT/BNGINEER: ADDRESS: CITY: PHONE (DAYTRvIE): C__) BONDING COMPANY: ADDRESS: CITY: MORTGAGE LENDER: ADDRESS: CITY: STATE: STATE: STATE: ZIP: E ZIP: IMPORTANT NOTICE: When a permit is issued and it is not picked up within 60 days after notification. it will be voided and returned to you by mail. JOSEPH E. SMITH, CLERT -- THE CIRCUIT COURT - SAINT LUCIE COUNTY FILE # 3544111 OR BOCK 154 PAGE 2441, Recorded 12/20/2010 ; 0:12 AM PEA NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with C apter,713, Florida statutes the following information is provided in the Notice of commencement. 6 Qd H A, - o � l 1. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: L h� k Q D T L. SUBDrMION_Y,--_BLOCK TRACT LOT-3—�BLDG UNIT 2. GENERAL DESCRIPTION OF IMPROVEMENT: r- 3.OWNER INFORMATION: 4 a.Nam e--&A k4. 11 L b. Address % S �wr9 t.c ^.^' l�� /n�-Lf n_ C. interest in property d. Name and address of fee simple titleholder (if other than owner) 4. CONTRACTOR'S NAME, ADDRESS AND PHONE NUMBER: 1 243 'SW Ahu46raI-4 54 OS.( 41 34156'3 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: V&k t 6. LENDER'S NAME, ADDRESS AND PHONE NUMPF,R: �'Q o " 7. Persons within the Stale of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a) 7., Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 8, In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (I)(b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) 20_. Signature o wner or Owner's Authorized OMcer/Director/Partner/Manager Print Name and Provide Signatory's Title/Office State of Flo ' County of A: The fore oing instrument was ac owled ed before me this I day of t ! - � 20�_. By A(G� � t Ma: KL, as `DIL (Name of perso) (Type of authority... e.g. Owner, officer, trustee, attorney in facet) For - I- C I10Ll , (Name of party on behalf of whom instrument was executed) Personally Known_ or produced the following type of ID: _ I(A FRAAq. p�eMISSIp ,••. (Printed Name of Notary Public) ignature of o Public) Under penalties of perjury, I declare that I have read the forego' end that the facts in it are true to the best of my im�vTgdge a 743,166 ' # belief (section 92525, Florida Statutes). s; r •,�¢;_ • _ _. _• . ; pQ; Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above: R.I. 0813& 00[(R—Wny STATE OF FCORM ST. LUCIIE COUNTY THIS ISTQCERTIFYTHATTHIS ISA TRUE AND CORRECT COPY Of THE QHIGINAL tOSkFiN E. SMIITH, CIERK By: e-1 ' Deputy •er v�0 Date icr t,T: lsrfch !:�ectrc, cFjle,,3spx?docjd - tx ile Edit Go To Favorites Help Favorites 7-Jel, Slce Ga"erl LJ e�.Page - Safety Tools • Q Ir.pe,l,lpprLjAppraises- http As fdJL calwe an.. X IF IV C� MC -w YTY. -XA, .9ec", h,, A—m d 4 j z 'be 4 h— 4- Ale \ 9 b SO zd /yzf peel z 37.23 x 26.13 in 4 Unlmown Zone , Dec 20, 2010 10:40 AM — 1 -4 le Edit GoToFavorites Help Favorites Saes Web Slice Gallery fRmD Page Safety Tools Property Appraiser - St.LL,,j,!.. http;/As,fdi 1/Localwebfiri X 4.7.' SC4. S• 4M 4v, 6e1-ee* thc FE G. I?Y\ ; o / t\` h� - V Az 4—, L_L7.23.26 131n i Unknown Zone MEMO= ,Dec 20, 2010 10:40 AM �J �E COGy ST. LUCIE COUNTY BUILDING & ZONING 2300VIRGINIAAVENUE FORT PIERCE, FL 34962-5652 F�ORIO� A62-1553 FILLED LANDS AFFIDAVIT I, the undersigned, am the owner of the following described property: (Tax ID/Legal description/Address) for which I have applied to St. Lucie County for a Final Development Permit. In accepting this Final Development Permit, BP Number , I acknowledge that as owner of the above described property, and in accordance with Section 7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring adequate drainage so that the immediate community WILL NOT be adversely affected. I further acknowledge that in granting this permit for the development of this property, St. Lucie County -is neither obliged nor liable to provide for, or maintain in any form, adequate drainage off my property which will not adverse affect the immediate.community. fj17 Property Owner Name Property O( ner Signature Date STATE OF FLORIDA, COUNTY OF l� V Lo C, ACKNOWLEDGED BEFORE ME THIS _ DAY OF BY f I WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED AS IDENTIFICATION. SIGNATURE OF TARY TYPE OR PRINT NAME OF NOTARY (SEAL) NOTARY PUBLIC TITLE COMMISSION NUMBER atietiaalou000�eoa��� a ° -��ary 6 00 : J '00 743466 6 9Adiye��neatr.+n��,ee° Qua ® � blrc Under O ao CERTIFICATION: This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity, if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit application. St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such structure: Please consult with your Homeowner's Association and review your deed for any restrictions which may apply. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non- residential use. NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT. d OWNER OR CONTRACTOR IGNATURE STATE OF FLO COUNTY OF CC 6 The foregoing instrument was acknowledged before me this 'd dayof!�Ddc by 0bal 1 , qjE !E L-- CONTRACTOR SIGNA URE STATE OF FLORIDA4 1 COUNTY OF ` The foregoing instrument was acknowledged before me this day of °L—� 20/ a who is personally known or has pr duced who is personally known or has produced df- as id �ti cation. Jr �'W. qtdentification. Signature of Notary Signature of Notto Commission No. (Seal) Commission No. (Seal) NOTE: TWO (2) SIGNATURES ARE REQUIRED. EACH SIGNATURE MUST BE NOTARIZED. IF APPLYING FOR THIS BUILDING PERMIT AS AN OWNER/BUILDER, THE OWNER MUST PERSONALLY APPEAR TO SIGN THIS APPLICATION IN THE OFFICE LISTED ON THE FRONT OF THIS APPLICATION. OWNER BUILDER AFFIDAVIT WILL BE REQUIRED FOR ALL OWNER/BUII.DER APPLICANTS. For specific instructions see appropriate permit checklist. OFFICE USE ONLY , , Ur #: I\O, Q • d l q 0 SECTION / r� d` TOWNSHIP RANGE O MAP NO. I" ZONING LAND USE c LOT CVG % TAZ NO. FLOOD ZONE FIRM MAP # IT FLR ELV MAX HGT CONST TYPE OCCUP TYPE OCCUP # OF FLRS WATER SEWER SPRINKLERS STORMWATER LOT OF REC Before 1/ 9 LOT OF REC After 1/1990 LOT SPLIT REQUIRED LOT SPLIT APPROVED REPORT CODE r 1 J HABITABLE AREA RADON FEE PERMIT FEE LIBRARY IMPACT FEE PUBLIC BLD IMPACT FEE CORRECTION PUBIC BLD BRACT FEE GENERAL PARKS IMPACT FEE SCHOOL IMPACT FEE ROAD IMPACT FEE CREDIT Y N LAW ENF IMPACT FEE FIRE/EMS IMPACT FEE DRIVEWAY REQUIRED Y N DRIVEWAY FEE ADMINISTRATIVE VARIANCE FEE SPECIFY SUBS REQUIRED MECHANIC ROOF ELECTRIC. GAS PLUMBING NON -CONFORMING LOT OF RECORD FEES MISCELLANEOUS FEES DATE SENT TO ADDRESSING: 1 / .REVIEWS FRONT COUNTER ZONING . REVIEW SUPERVISOR REVIEW PLANS REVIEW VEGETATION REVIEW SEA TURTLE REVIEW MANGROVE REVIEW DATE RECEIVED DATE COMPLETED I g fl INITIALS conTinenT-L HEID RINI 11101111611 Continental Florida Materials Inc. 1.607273 13450 W. Sunrise Blvd., Suite 430 Sunrise, FL 33323 Tel: (954) 858-0780 CAUTION! I Freshly mixed cement, mortar, UNLOADING Drivers are prohibited concrete or grout may cause skin injury. Avoid from delivering concrete except under the contact with eyes where possible and wash truck's own power, and where site conditions exposed skin areas promptly with water. If any permit the safe and proper operation of his cement mixtures get into eyes, rinse immediately equipment. Drivers are not permitted to and repeatedly with water and get prompt medical add water to the mix nor to go beyond the treatment. Sawing, or grinding of concrete curb line, except upon the authorization of l a! i i I' N i +F. t v Yp js.l t- j _' + t= t I t .; , I masonry,units may result in the release of dust the Purchaser/Purchaser's Agent and his particles which, without the use of proper eye or acceptance of risk for any loss or damage. respiratory protection, could cause eye or nose I acknowledge that l have received and ! �� Z -� r g irritation. The Material Safety Data Sheets for accepted the materials listed on this ticket. the products sold by Continental Florida I understand and agree to the terms on Curb line crossed at Purchaser/Purchaser's Agent request. Initials of Purchaser/Purchaser's Materials Inc. are available upon request. both the front and back of this ticket. Agent TOTAL WATER Initials of Purchaser/Purchaser's Agent acknowledging addition of water at Purchaser/Purchaser's YARDS ON TRUCK/GALS OF WATER ADDED ADDED Agent request. 10 9 8 7 6 5 4 3 9. 1 1 1 i ARRIVAL TIME START POUR TIME' FINISH POUR TIME LEAVE JOB TIME r y k—.. %/, ` /�`a / 0 YKJ, . - . PURCHASER/ PURCHASER'SAGENT PURCHASER/PURCHASER S AGENT P.O. NUMBER/ORDERED BY SOLD TO ZONE JOB NUMBER TIMETICKEfED DELIVER TO DATE TICKET t'1=1'il1 :=�3_� l=1 )i-i�l-r_ .;.,•1.M''r,�iY'', 1..;+;,',"z �".,jili(-�i:, i-i14..R: �.;,?I.�: Concrete Disposal: yds QUANTITY QUANTITY QUANTITY PRODUCT PRODUCT DESCRIPTION, UNIT OF UNIT EXTENDED THIS LOAD ORDERED DELIVERED CODE MEASURE PRICE PRICE `�lr'i3 rclr_5_ � � Truck #—�� Plant # Slump Due at Job Use of Concrete SUBTOTAL Calcium Air Entrain Super Plas. Drivers Name TAR _ ❑ CONCRETE TESTED TOTAL Special Instructions UUJ I VIVICht 1. WARRANTY: The materials sold by Continental Fiori terials Inc. (hereinafter "Continental") are warranted for ' from the date of delivery to free f Ai defects in material. This warranty is exclusive and is in lieu of ar warranties (whether written, oral or implied), including a„Y .warranty or merchantability or fitness for any particular purpose. Continental's liability under any circumstances will not be greater than the purchase price of the materials supplied, the purchaser must examine the material upon delivery and before installation to discover any defects, latent or otherwise, and Continental will not be liable for and other damages including, but not limited to incidental, Indirect, consequential, special or delay damages, loss of profits, or any other damages arising out of the breach of any obligations under this agreement. Purchaser further agrees that no claims may be filed under this warranty unless and until any indebtedness to Continental is paid in full. 2. EXCLO.IYE_REM.E„D_,Y: Purchaser further agrees that its exclusive remedy against Continental in the event the goods, materials or services supplied by Continental are alleged to be defective and/or are alleged to have caused purchaser to suffer personal injury, loss of life, property, damage or econornic losses as a result of breach by Continental of any and all of the foregoing express or implied warranties, or as a result of any negligence, strict liability, or other tortious conduct or statutory violation by Continental, shall be limited to. and shall not exceed the purchase price of the goods: materials, or services purchased from Continental by purchaser and purchaser agrees that Continental shall not be liable to purchaser for any other damages including, but not limited to, lost profits, lost wages, indirect, incidental, consequential, compensatory. special, delay, punitive or any other damages, including damages for pain and suffering, mental disease, medical or funeral expenses, any other similar damages, or any attorney fees or costs incurred by the purchaser in connection with pursuing any claim, demand or cause of action against Continental for breach of any obligations under this agreement, breach of the express or implied warranties delineated above, negligence, strict liability or other tortious conduct committed by Continental in connection with Its sale to the purchaser's use of goods, materials or services sold by Continental. 3. DICE DATE: Payment for all credit sales is due by the 10th of the month following the purchase date. The Purchaser agrees that all past due accounts will accrue Interest at 1.5% per month. 4. •" OLLECTION COSTS: Purchaser agrees to pay attorneys' fees and costs of collection incurred by Continental prior to judgment, in obtaining iudgrneni;,or appeal, for bankruptcy and for post -judgment collection procedures. Venue of any action between the Purchaser and Continental shall be Broward County, Florida. 5. MIX CODE!LOCATIONS: The purchaser agrees to order the mix needed by product code and accepts full responsibility to determine the location for the readymix concrete. 6. DELIVERY SITE CONDITIONS: Continental reserves the right to determine whether the site: for delivery requested by the Purchaser is suitable for such delivery and Continental may refuse to deliver to a site if Continental is of the opinion that delivery would be unsuitable or unsafe. The Purchaser shall be responsible for all costs and damages incurred where adequate access for delivery cannot be obtained. 7. lI[..A' TENDED,D.E.L V.EB,Y..-S.ITE; Where delivery of products is to be to an unattended site. Continental will not be liable for any loss or damage to products, property or for unsigned delivery tickets. 8. DELAYS: Continental shall not be liable for any delay in delivery or non -delivery resulting from any cause beyond its control including but not limited to plant and delivery equipment breakdowns, industrial stoppages or shortages of raw materials. if Continental is unable to complete delivery, of any part of an order, the Purchaser shall accept such part of the order as Continental is able to deliver and the Purchaser shall pay for the part delivered pro rate at the same rates as the whole of the order agreed to be sold and the same terms of payment. ,9. QUANTITIES: This type and quantity of products delivered and detailed on the delivery ticket must be checked by the buyer at the time of delivery for compliance with the Purchaser's order. Variations between actual quantities delivered and those shown on the delivery ticket must be noted or: all copies of the delivery ticket signed by the Purchaser. Invoice charges will be based on the quantities of products shown to be supplied as per the delivery ticket. Any claim for alleged short delivery of products must be made in writing within seven (7) days of delivery: otherwise it will be accepted by Purchaser and in the absence of any claim the Purchaser shall be liable to pay for the full quantity of products listed on the Continental delivery ticket. 10.MINIMUM LOAD CHARGE: :All prices quoted are based on loads of not less than five yards. There will boa short load charge on each delivery, less than five yards. One call back withal charge will be allowed on pours exceeding ten yards. 11.WAITING TIME: A maximum of sixty minutes per 10 yard load will be allowed at no charge. After sixty minutes there will be a charge of $1.50 per min. 12:ENVI._RONMENTAL_CHARGE: A 55.00 per load environmental charge will be assessed. 13 _SPECIFICATI.ON: Unless specialty ordered, Continental concrete is manufactured according to the provisions of ASTM C-94. Specifications for Ready Mixed Concrete, and block is manufactured according to the provisions of ASTM C-90, Specifications for Concrete Masonry. Continental is not responsible for concrete to which the Purchaser (without the approval of an authorized agent of Continental) has added or requested Continental to acid any water, admixture or additive or where the Purchaser has mishandled the concrete after' delivery. 14.TECHNICAL ASSISTANCE: Continental accepts no responsibility for claims arising from technical advice or assistance provided to the Purchaser. Advice and assistance provided by Continental is for Purchasers guidance only and Purchaser agrees to rely solely on its own architects, engineers or other technical experts. 15.SAFETY DATA: The Material Safety Data Sheets for the products sold lay Continental are available upon request. 16.MODIFICATIO...N_ O_F_ TE13MS: No employee or agent of Continental has the authority, in the absence of an express writing, to make any statement, including restricting or modifying or otherwise concerning the existence or effect of any of these terms and conditions or of any warranty or guarantee and no such employee or agent making any such statements shall be acting on behalf of or with the consent or agreement of Continental. These conditions may only be altered or varied to writing signed by an Officer of the Company and no other employee nor any other person has authority to after or vary any or all of these terms and conditions. Some of Continental Divisions' terms may vary due to industry standards but all changes must be approved by an Officer of the Company. 17.TERMS: The Purchaser as indicated in this quotation, agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation, agrees to abide by these terms, regardless of any change in the legal status of Purchaser, or until the term of this quotation expires. These terms contained herein supersede any and all terms previously given to Purchaser that conflict with the terms herein. If, at the request of the Purchaser, Continental Florida Materials Inc. enters into a written agreement or purchase order with the Purchaser to furnish materials to or on behalf of the Purchaser for a specific project or job. all of the terms set forth herein shall be deemed to be a part of and incorporated by reference into such written agreement or purchase order notwithstanding any term or provision in the written contract or purchase order to the contrary and, if there is a conflict with terms and/or provisions of the written contract or purchase order, the terms herein shall prevail and be determinative. conTins iT L HEIDELBERGCEMENTGroup Pr Continental Florida Materials Inc. 18807267 13450 W. Sunrise Blvd., Suite 430 Sunrise, FL 33323 Tel: (954) 858-0780 CAUTION!! Freshly mixed cement, mortar, UNLOADING Drivers are prohibited concrete or grout may cause skin injury. Avoid from delivering concrete except under the contact with eyes where possible and wash truck's own power, and where site conditions exposed skin areas promptly with water. If any permit the safe and proper operation of his cement mixtures get into eyes, rinse immediately equipment. Drivers are not permitted to and repeatedly with water and get prompt medical add water to the mix nor to go beyond the treatment. Sawing, or grinding of concrete curb line, except upon the authorization of I- } ; j , -� i -I : I- t , I „ i i masonry units may result in the release of dust the Purchaser/Purchaser's Agent and his L. J.t i 17 �: , ij-- I F . t .r.-g; , , particles which, without the use of proper eye or acceptance of risk for any loss or damage. respiratory protection, could cause eye or nose l acknowledge that I have received and irritation. The Material Safety Data Sheets for accepted the materials listed on this ticket. � ! the products sold by Continental Florida I understand and agree to the terms on Curb line crossed at Purchaser/Purchaser's Agent'request� Initials of Purchaser/Purchaser's Materials Inc, are available upon request. both the front and back of this ticket. Agent TOTAL WATER Initials of Purchaser/Purchaser's Agent acknowledging addition of water at Purchaser/Purchaser's YARDS ON TRUCK/GALS OF WATER ADDED ADDED Agent request. 10 9 a 7 6 6 1', IPURCHASER S AGENT P.O. NUMBER/ORDERED BY SOLD TO 4 3 S 1 PURCHASER/ PURCHASER'S AGENT ZONE JOB NUMBER TIMETICKETED DATE TICKET J. r a'_i:/ '. DELIVER TO ti;,l fi:(9:flE'i.1. 6.�i11 tla9i3.i;I'll I'i,(V .t, �tj+T,,,7._ _ I-) Concrete Disposal: yds 66AN77TY QUANTITY QUANTITY PRODUCT PRODUCT DESCRIPTION UNIT OF UNIT EXTENDED THIS LOAD ORDERED DELIVERED CODE MEASURE PRICE PRICE 1- Truck # Plant # Slump Due at Job Use of Concrete ' < SUBTOTAL Calciuml"`� Air Entrain, Super Plas. + Drivers Name TAX ❑ CONCRETE TESTED TOTAL'• Delivery Instructions ...: r`I lcTnnnIZ:o 1. WARRANTY: The materials sold by Continental Flori terials Inc. (hereinafter "Continental") are warranted for 1 from the date of delivery to free, froh'rr defects in material. This warranty is exclusive and is in lieu of all other warranties (whether written, oral or implied), including any warranty or merchantability or fitness for any particular purpose. Continental's liability under any circumstances will not be greater than the purchase price of the materials supplied, the purchaser must examine: the: material upon delivery and before installation to discover any defects, latent or otherwise, and Continental will not be liable for and other damages including, but not limited to incidental, Indirect, consequential, special or delay damages, loss of profits, or any other damages aris, ig out of the breach of any obligations under this agreement. Purchaser further agrees that no claims may be filed under this warranty unless and until any indebtedness to Continental is paid in full. 2, EXDI_U51VE R_E...M.EDY: Purchaser further agrees that its exclusive remedy against Continental in the event the goods, materials or services supplied by Continental are alleged to be defective and/or are alleged to have caused purchaser to suffer personal injury, loss of life, property, damage or econornic losses as a result of breach by Continental of any and all of the foregoing express or implied warranties, or as a result of any negligence, strict liability, or other tortious conduct or statutory, violation by Continental, shall be limited to, and shall not exceed the purchase price of the goods, materials, or services purchased from Continental by purchaser and purchaser agrees that Continental shall not be liable to purchaser for any other damages including, but not limited to, lost profits, lost wages, indirect, incidental, consequential, compensatory, special, delay, punitive or any other damages, including damages for pain and suffering, mental disease, medical or funeral expenses, any other similar damages, or any attorney fees or costs incurred by the purchaser in connection with pursuing any claim, demand or cause of action against Continental for breach of any obligations under this agreement, breach of the express or implied warranties delineated above, negligence, strict liability or other tortious conduct committed by Continental in connection with its sale to the Purchaser's use of goods, materials or services sold by Continental, 3. DUE DATE: Payment for all credit sales is due by the 10th of the month following thC, purchase date. The Purchaser agrees that all past due accounts will accrue Interest at 1.5% per month. 4. COLLECTION COSTS: Purchaser agrees to pay attorneys' fees and costs of collection incurred by Continental prior to judgment, in obtaining judgment, or appeal, for bankruptcy and for post -judgment collection procedures. Venue of any action between the Purchaser and Continental shall be Broward County, Florida. 5. MIX CODE/LOCATIONS: The purchaser agrees to order the mix needed by product code and accepts full responsibility to determine the location for the readymix concrete. 6. DELIVERY SITE CONDITIONS: Continental reserves the right to determine whether the site: for delivery requested by the Purchaser is suitable for such delivery and Continental may refuse to deliver to a site if Continental is of the opinion that delivery would be unsuitable or unsafe. The Purchaser shall be responsible for all costs and damages incurred where adequate access for delivery cannot be obtained. 7, U N . ENDED-D.E.. LIVERYS.!.TE: Where delivery of products is to be to an unattended site. Continental will not be liable for any loss or damage to products, property or for unsigned dol!very tickets. ' S. DELAYS: Continental shall not be liable for any delay in delivery or non -delivery resulting from any cause beyond its control including but not limited to plant and delivery equipment breakdowns, industrial stoppages or shortages of raw materials If Continental is un ible to complete delivery, of any part of an order, the Purchaser shall accept such parf of the order as Continental is able to deliver and the Purchaser shall pay for the part delivered pro rata at the same rates as the whole of the order agreed to be sold and the same terms of payment. 9.QUANTITIES: This type and quantity of products delivered and detailed on the delivery ticket must be checked by the buyer at the time of delivery for compliance with the Purchaser's order. Variations between actual quantities delivered and those shown an the delivers ticket must be noted on all copies of the delivery ticket signed by the Purchaser. Invoice charges will be based on the quantities of products shown to be supplied as per the delivery ticket. Any claim for alleged short delivery of products must be made in writing within seven (7) days of delivery: otherwise it will be accepted by Purchaser and in the absence of any claim the purchaser shall be liable to pay for the full quantity of products listed on the Continental delivery ticket. 10.M'INIMUM LOAD CHARGE: All prices quoted are based on loads of not less than five yards. There will be a short load charge on each delivery, less than five yards. One call back without charge will be allowed on pours exceeding ten yards. 11.WAITINC TIME: A maximum of sixty mhiutes per 10 yard load wi!I be allowed at no charge. After sixty minutes there will be a charge of $1.50 per min. 12.ENVIRONMENTAL CHARGE: A S5.00 per load environmental charge will be assessed. 13:S...PE,di.00A.: Unless specially ordered, Continental concrete is manufactured according to the provisions of ASTM C-94, Specifications for Ready Mixed Concrete, and block is manufactured according to the provisions of ASTM C-90, Specifications for Concrete Masonry. Continental is not responsible for concrete to which the Purchaser (without the approval c,16 aufhortzed agent of Continental) has added or requested Continental to add any water, admixture or additive or where the Purchaser has mishandled the concrete after delivi:N. 14.TEGHNICAL ASSISTANCE: Continental accepts no responsibility for claims arising from technical advice or assistance provided to the Purchaser. Advice and assistance provided by Continental is for Purchasers guidance only and Purchaser agrees to rely solely on its own architects, engineers or other technical experts. 15.SAFETY DATA: The Material Safety Data Sheets for the products sold lay Continental are available upon request. 16.WOUI._FICATLON_OF TERMS: No employee or agent of Continental has the authority, in the absence of an express writing, to make any statement, including restricting or modifying or otherwise concerning the existence or effect of any of these terms and conditions or of any warranty or guarantee and no such employee or agent making any such statements shalf be acting on behalf of or with the consent or agreement of Continental. These conditions may only be altered or varied to writing signed by an Officer of the Company and no other employee nor any other person has authority to alter or vary any or all of these terms and conditions. Some of Continental Divisions' terms may vary due to industry standards but all changes must be approved by an Officer of the Company. 17.T_ERMS: The Purchaser as indic=f-I 'his quotation, agrees to abide by these terms; regardless of any change in the legal status of Purchaser, or until the term of this quotation, agrees to abide by these tenpr; change in the legal status of Purchaser, or until the term of this quotation expires. These terms contained herein supersede any and.all terms previously g!;tt,. -ith the terms herein. 'If, at the request of the Pig Inc, enters into a written agreement or purchase order with the Purchaser to furnish materials to or on behalf of 'the Purchaser for a spa,'-ra' + ,rein shall be deemed to be a part of and incorporated by reference into such written agreement or purchase order notwithstandinc,"U01u'chase ord.tr to the contrary and, if there is a conflict with terms and/or provisions of the written contract 'or purchase order, titip03 \ � Y a N a` t O . ��tt s► aa' .-e N O y �OlO-L.o�q� I