HomeMy WebLinkAboutInspection docs 7
St tl�cip county Imo, ,-dons
2300 Virg!Wa Avenue
Ft Berm FL 34982 � �J
(772)462-2172
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CERTMCA'TE OF'TERAITE TREATMENT
CflNSTRi3e' ON SOIL TREATNOM i
PERM T 01`� JOBB ADDRESS
II:DER I
PEST CONTROL CONTRACrOR
PEST CONTROL LICMSE#
We,the undersigned,hereby certify that we have pretreated the above-described construeflon for
snbtwrameaip-testes.s'n accordance with the rwaridards oa the-National Fest Control association.
Square feet of area treated: �0 d Chemicals used:
Percentage of solution: � � 5 `�� Total gallons used:
Date of treatrnenL Time of Treatment i;ao �r�
Q Foofmg
1st-Treatment 'FBC--#446 Cerus'kate of t1roleciive Treatmentforprevenfion oftermites
E3 Re--treat rt weather remiantiabsue pos m board shalt be provided to receive
duplicare Trwanmt Cervi mes as each required protective irearmew is
Slab completeA providing a copyfor the person the permit is issued to and
U Ist Tmmment another copy for the building pennit Iles. The Treatment Certificate shall
provide rhe product used;identity of the applicator,time and date of the
U Re treat - treatment;.site location,area treare4 chemical used;percent concentration
Driveway and number of gallons useel=to establish a vertfwble record of pratective
treatmentIf the soil chemical barriermetkad for termiteprevetWan&used.
Ist Treatment final esterwrrreatmenr shat!be completed pruarto final building approval
R teat St Lucie County r"Wrers for the f'>t am—spec*:on for C�;a Per srettt
E) Pod-is Sticker to he placed on the electrical panel bog cover,listing all the
Q istTiumment treatments and dates of applfcations.
El Re-treat
0 (Hier -
E3 tst Treatment
�J Re-treat
D Perimeter for Final Inspection
Signature ofeeerrin3tor
NOTE: .
There must be a completer form,f breach required ireatm ni or re-freahnen t orad ds icform must be on
the job sate to be picked up by the inspector at tune of elwh inspedfien or the scheduled Fnspecu'on WRi
fog qnd a re-inspecd on fee diarged.
Rnised 6MID-2 ding
SUPER1ffX
TZ "The On Time Concrete Company"o
-Q.>_ CENTRAL CONCRETE SUPERMIX, INC. f MIN Hil HIN 111011111111111 MN N111 IM,
CONCRETE DISPATCHERS:
MIAMI-DADE: (305)264-7101
DEERFIELD: (954)480-9333 CUSTOMER NO. DELIVERY TICKET DATE
BLOCK PLANT:(305)805-3226
WWW.SUPERMIX.COM I+Ii r L
f_.� `�+1'�l''I��iy l�. .�-r; �.I�I'::��. ._ t `i
MAIN OFFICE: 4300 S.W. 74th Ave. • Miami, FL 33155 . i:. •r .1.�+
PHONE: (305) 262-3250 • FAX: (305) 267-0698
SERVING MIAMI-DADE, BROWARD, PALM BEACH, MARTIN & ST. LUCIE COUNTIES
SOLD TO DELIVERY ADDRESS
".Y is ARI� ] f-7!!`5- tdE_f`T L.E:`::; I:� VD, 7'E rf,I~:E It.f
1 C'6 t.'-'I(?F(31.1t:> JOBS
.i.01C."�-10
CJ It1i-=P PAGE,- C'5 �Fr4..r rel,i�C:Ii e Ft828� ";��1
QUANTITY DESCRIPTION PRICE UNIT EXTENSION-
RIEG I._AR 6,C3 S1._1AG r•i�
l
i
I ,
EXTRA UNLOADING TIME CHARGE
MINUTES _ ALLOWABLE TIME' — PER MINUTE —
X$1.00
*6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE
SLUMP " '=;4y' AMOUNT
;.f-�__ THIS DELIVERY TOTAL CU. YDS.
i n i'=�'�• ti?t;?? TAX
OF YOUR ORDER FOR CU. YDS.
CUSTOMER OR HIS AGENTASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR / ♦ s^s° Gs a 4 �y �
PERFORMANCE OF ANY CONCRETE PLACED ABOVE DESIGN SLUMP OR WHEN • F 4
WATER IS ADDED. WATER ADDED ❑ YES ❑ NO GLS.
TIME ARRIVED ON JOB STARTED UNLOADING FINISHED UNLOADING LEAVING THIS JOB TOTAL TIME
f�_
SUBJECT TO THE TERMS, CONDITIONS AND "CAUTION" WARNING LISTED ON BOTH THE
FRONT AND BACK OF THIS TICKET.
TRUCK DRIVER I acknowledge that I have received and accepted the materials listed on this ticket. I
understand and agree to the terms on both the front and back of this ticket.
RECEIVED BY: X
CONTROL 20 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER
Q�Da CaN�A MIAMI•DOWNTOWN MIAMI•WEST MIAMI•AIRPORT•OPA—LOCKA•MEDLEY•PERRINE PEMBROKE PINES
M DEERFIELD•BOCA RATON•RIVIERA BEACH•STUART•W.BROWARD•FT.PIERCE•E.'BROWARD'-DELRAY
Ll4- 2 3 11 1 PRODUCERS AND SUPPLIERS OF QUAUTY READY MIXED CONCRETE AND CONCRE E BLOCK NRMCA
ass A* DELIVERY COPY m=
A FRESHLY MIXED CEMENT, MORTAR, CONCRETE OR
GROUT MAY CAUSE SKIN INJURY AVOID CONTACT WITH EYES WHERE
POSSIBLE AND WASH EXPOSED SKIN AREAS PROMPTLY WITH WATER.
IF ANY CEMENT MIXTURES GET INTO EYES; RINSE IMMEDIATELY AND
REPEATEDLY WITH WATER AND GET PROMPT MEDICAL TREATMENT:
SAWING, OR GRINDING OF CONCRETE MASONRY UNITS MAY RESULT
IN THE RELEASE OF DUST PARTICLES WHICH, WITHOUT THE USE OF
PROPER EYE OR RESPIRATORY PROTECTION, COULD CAUSE EYE OR
TSE IRRITATION. THE MATERIAL SAFETY DATA SLEETS FOR THE
PRODUCTS SOLD BY CENTRAL CONCRETE SUPERMIX, INC. ARE
AVAILABLE UPON REQUEST:
UNLOADINGDRIVERS ARE PROHIBITED FROM DELIVERING
CONCRETE EXCEPT UNDER THE TRUCK'S OWN POWER, AND 'WHERE
SITE CONDITIONS PERMIT THE SAFE AND PROPER OPERATION OF HIS
EQUIPMENT.. D IVERS ARE NOT PERMITTED TO ADD WATER TO THE
MIX NOR TO GO BEYOND THE CURB LIFE, EXCEPT UPON THE
AUTHORIZATION OF THE PURCHASER/PURCHASER'S AGENTAND HIS
ACCEPTANCE OF RISK FOR ANY LOSS OR DAMAGE.
a
BUYER, OR HIS AGENT, AGREES TO ASSUME RESPONSIBILITY FOR
CONCRETE, AND ANY PROPERTY DAMAGE RESULTING FROM TRUCK
MAKING DELIVERY BEYOND CURB LINE. ALL CLAIMS MUST BE MADE
AT TIME ELIV Ya
IF IT BECOMES NECESSARY TO. BRING ANY ACTION TO COLLECT
AMOUNTS DUE ON THIS INVOICE, PURCHASER SHALL BE RESPONSIBLE
FOR REASONABLE ATTORNEYS FEES AND COURT COSTS INCURRED
BY VENDOR IN SECURING COLLECTIONS. INTEREST SHALL ACCRUE
AT 1 . 1 /2% PER MONTH ON OUTSTANDING BALANCES.