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"The On Time Concrete Company"ac "The On Time Concrete Company"
� CE11iTRACONREE CONCRETE PATCHERSMIX.►NC:: IIIIIIIIIIII�IIII�IIIII ( III�tI.' CERITRACORETE CONCRETE PATCHEMI INC. I�I��IIII�IIIIIII���IIIIIIIIill�ltl'I'11��N��
South Dispatch: (305)284-7101 ftll!!i Ifi!!111! !1 i i 1 li I South Dispatch: (305)204.71Q�•,. I 1 LI(!Itlllii II Illi!Iltt lit i iI
NorthOlspatch: (501)928-5384 North Dispatch: (581)92&8364_ CUSfOM O: -DEI ERYTRCKET
C�ISTOMER.NOs,: dSL`(VEFiY.7'1CttET-` �DATE
Bock Dispatch: (305)605220 - Blick Dlapetdt: (305)806226
1MNW.SUPERMI%.COM WNIW.SUPERM XCOM
MAIN OFFICE:4300 S.W.74th Ave.•Miami,FL 33155 PCDEMrrn 1,t-t 1 rs ¢P,1.1�/,s MAIN OFFICE:4300 S.W.74th Ave.•Miami,FL 33155 'cDrt�toco 14-!
PHONE:(305)262-3250-FAX:(305)267-0698 PHONE:(305)262-3250-FAX:(305)267-0698 —
SERVING MIAMI-DADE,BROWARD, PALM BEACH,MARTIN&SL LUCIE COUNTIES SERVING MIAMI-DADE,BROWARD,PALM BEACH,MARTIN&ST.LUCIE COUNTIES
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PC DEMOLITION AND CONSTRUCTION LLC -100 BIRCH DR PSL
^C DEMOLITION AND CONSTRUCTION LI_C 611710 BIRCH DR PSL
s5 1s�F3D��JMNk� IAL CIRCLE rARIOUS SdFS
_Me COM*FRCFKtl. CIt41_.(._F VAR?TOUS JI189 1
=�O PO`? 4.3-t-3 FORT PIERCE: ,FL 34943 30 *:ROMAN
rCf.T PI'RC ,FL 34948 PO 4nRONAN ORDER# 156 DROJECT t#: 12480
O(t7ER4'' 15%: PROJECT ¢#t ' 124G!A IAP PAGE„ CBC25 LOT/BLOCK: A8343216
MAP PAGE: CBC25 LOT/PL DCKt A834:3216
I NSTRUCT I ONS: 1 INSTRUCT I ONS
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;ITEM:';'- ,.. "_,DESCRIPTIQN .. ,.. UNIT.-..:PRtCE;x•,,,.�'EXTENSt N"-,Y. =:auasiTlTY ; t7EfL1 DESCR(PTtON _ - ,-'tINiT„, pRtC.f; -EXTEtt}SJt�
iwl.,00 309014 3000 REGULAR 40 'SLAG ay
10,091 309014- 300% REGULAR 40 SLAC, cy 1ir• 00 1=INER34L IBERMEStd 3/4 LII/CY 16
!rn,PIM F_rAEf':3:rL. -TF:IE:RIri-91-I 3/4 LR/GY !la
FUEL SUR
TONIV.FBI.EER ENV FEE
f=+!V ..
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MtNNEa ALLOWABLE TOM, PER MINLttE M""ES &WwAaus T"'E' PER MINUTE
EXTRA UNLOADING TIME CHARGE y _ X$1.00 a EXTRA UNLOADING TIME CHARGE y .. X$1.66
r� -
•6 MINUTES PER CU.YD. ALLOWED SHORT LOAD CHARGE* "6 MINUTES PER CU.YD. ALLOWED SHORT LOAD CHARGE*
SLUMP THIS DELIVERY TOTAL CU.YDS.1:m•cnr) AMOUNT SLUMP THIS DELIVERY TOTAL 20.00 CU.YDS. AMOUNT
4+/-_
l n OF YOUR ORDER FOR 214•mm CU.YDS. TAX p a In
OF YOUR ORDER FOR 20.00 CU.YDS. TAX
CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR ST•HENGTHAND(OR .� ..7ut!4, 'r i;''��CY't? LITY
PERFORMAN E OFCUSTOMER OR HIS AANY�CONCRETEE PASSUMES �nED�1'1=DES
S OR WHEN $ `
ES
PERFORMANCE OF ANY CONCRETE PLACED ABO DESIGN P OR WHEN
WATER IS ADDED. WATER ADDED ❑YES O v GLS. `”'±� r»�Is .° e ydt. WATER IS ADDED. WATER ADDED tE9 ONO GIS.
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'ST ED iINL Al11NQ' '.FINISHED.UN OADI i'i EAVIN6TNi JQB;:: -. T� .., a cnv
TIMEARRIYEQONJbB;...+STAiITED k A0)NQ ^:'•'FINI$RE[)Ull1(?ADING -,# AVt�14Tt1(S.:JRB ART ti
UB IECTTOTHETERMS,CONDITIONS AND'CAUTION"WARNING LISTED ON BOTH THE SUBJECT TOTHE TERMS,CONDITIONS AND'CAUTION"WARNING LISTED ON BOTH THE
FRONT AND BACK OF THIS TICKET. FRONT AND BACK OF THIS TICKET.
>.
c':a--TRUCK a,DR)VER. -w,: I acknowledge that I havf1h;i
elveIf and accepted the materials listed on this ticket.r ;TRUCK;,• RR/EH I acknowledge that I have received and accepted the materials listed on this ticket.I
understand and agree tootms an both the front and back of this ticket. E+v' understand and agree to the terms on both the front and
back of/)his ticket.
74t9 .3'111 RECEIVED BY: X
1 a t iACHADO I.UPE RECEIVED BY: X
21 LOADING POINTS AT 1 LOCATIONS TO SERVE YOU BETTER 'it'f;.CONTRQL 21 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER
ra MIAMI•DOWNTOWN MIAMI-WEST MIAMI-AIR ORT-OPA-LOCKA-MEDLEY-PERRINE•PEMBROKE PINES //((//JJ'^' �a'r � MIAMI•DOWNTOWN MIAMI-WESTMtAMI-AIRPORT-OPA•LOCKA-MEDLEY-PERRINE•PEMBROKE PINES
14- 18623 DEERFIELD•BOCA RATON-RIVIERA BEACH'S ART-W.BROWARD•FL PIERCE•E.BROWARD•DELRAY 'Ll(( 14- 19 3 6 5 DEERFlEC-SOCA BATON•RIVIERA BEACH•Y READY
•W MIXED
CBROWARD•FL PIERCE•E.CONCRETE
•BLOCK
PRODUCERS AND SUPPLIERS OF QUAUTY Y MD(ED CONCREIEAND CONCRETE BLOCK HRMt i��� PRODUCERS AND SUPPLIERS OF QUALITY RFADY MIXED CONt`ltElE AND CONCf267E BLOCK. NRMCIi
OFFICE COPY " OFFICE COPY "�«
"The On Time Concrete Company"
P CENTRAL CONCRETE SUIPERMlk INC.
CONCRETE DISPATCHERS:
South Dispatch;.(3D�254-T,D,. 1llillklilllallllIIIIIIIIINilll11111111fallf�� .,..
North Dispatch: (561)828.9384 CU$70ME `NO-I raDELIV IiYTICKETe i'. .DATE a'
Block Dispatch: (305)8053220
WWW.SUPERMIX.COM L4!-.-111
MAIN OFFICE:4300 S.W.74th Ave.-Miami,FL 33155pCDEMOC(] ?785) IA 15
PHONE:(305)262-3250-FAX:(305)267-0698
SERVING MIAMI-DADE, BROWARD,PALM BEACH,MARTIN&ST. LUCIE COUNTIES
PC DEMOLITION AND CONSTRUCTION 1-1-C 6100 BIRCH DR FJSL
7348 COMMERCIAL CIRCLE L)Avr01JS JOBS i
P,7 90" 43.43
FOORT PIERCE ,FL.. 3-,948 PO #.ROMAN
ORDER4 1,16 PRO TELT 4r,
Re PRIDE;
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L._. .
INSTRUCT-,PNS1
---------------
QUAN-, %._,...;•REM . .l7SCNIPT7UN, :_.L : ... a: ,..UNITL. CE ENSI�N.yE:
2..50 309014. 30041 REGULAR 40 SLAG ; cy
2,.00 FIBER34L FIBERMEFSH 3/4 I_R/CY Lb
I
FUEL_ SUR
EIV FEE
MINUTES ALLeWABLE TINE' PER MINUTE
EXTRA UNLOADINGTIME CHARGE I* X$1..00
'6 MINUTES PER CU.YD. ALLOWED SHORT LOAD CHARGE y
SLUMP AMOUNT
THIS DELIVERY TOTALS CU.YDS:
OF YOUR ORDER FOR CU.YDS. TAX
CUSTOMER OR HISAGENTASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR 'L 11�• ; �y•'m''t• L�.
c.E x It 2'.f
PERFORMANCE . ANY CONCRETE PLACED A93 NO SIGN SLjIMP OR WHEN ...<r4
WATER ISADDED. WATER ADDED YES NO OLS. "'= gt
�TiME gRRIVED,ON JOBz STARjED UNLOADING'-::FINISHEDl1NLOgDINQ:;>, ;, LEAV N 'INIS;yIQEi., »,•„_TOrALjIME�>,,.,.t,•
SU JECTTO THE TERMS,CONDITIONS AND'CAUTION"WARNING LISTED ON BOTH THE
FRONT AND BACK OF THIS TICKET.
I acknowledge that I have received and accepted the materials listed on this ticket.I
understand and agree to the terms on both theant and back of this ticket.
y 6559 feaubrint. IIor.I RECEIVED
`'aa'°CONTROL 21 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER
MIAMI-DOWNTOWN MIAMI-WEST MIAMI-AIRPORT-ORA-LOCKA-MF-0LEY•PERRINE-PEMBROKE PINES
14- 18628 DEFAFIELD-BOCARATON-RIVIERA BEACH-STUART-W.BROWARD-T PIERCE-E.BROWARD-DELRAYQC
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MW PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK NRMU
OFFICE COPY -_
Planning&Development Services
wilding&Code Regulation Division
i 2300 Virginia Ave
• • - Fort piercer FL 34982
772-462-21.72 Fax 772-462-6443
CERTIFICATE OF TERMITE.TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #:--' JOB ADDRESS: �d 16:T4 f)( -
BUILDER/e,ONTRAC70R:
PEST CONTROL CONTRACTOR:
PEST CONTROL LICENSE #:
We, the undersigned,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 if area treated: 5 Chemicals used: _ ) 1�W.��I
Percentage of solution: • 11 , Total gallons used:
Date of Treatment:_ � Time of Treatment: 1�,
Footing Slab
1d Treatment P Treatment
Re-Treat Re-Treat
Driveway Pools
It Treatment 5'-1 reatment
e Treat e--Treat
t?ther erlm er for Final ins on
I�Treatment /
8,e-Treat
Signature o rminator
Note: There must be a completedform for each required tt»ent orm tr imentand tft form mustbe on the job
site to be picked up by the inspecttiratb'me ofeach irzspe or the Wed itaspecdon will fall and a•re-inspection
fee dfarged.
FBC1.04.2.6 Certificate of Protective Treabnentforprm(endonoftermites A weatherreststantjobsiteposdagboard
shall be provided to receive duplicate Treatment Cetiftates as each requited protscuve treatment is complet md,
providing a copy for the person the permit is issued to and anodher copy for the building permit files The Treatment
Certificate slhall provide the product used,ldent/tyofthe applicator,time and date of the treatment;site location,area
treated,chemical used,percent concentration and numberofgallons userl, to estahllsh a venfrable record of
protective treabnent If the 5011 chemical barrier metth0d for termite preventron is used,final exterior treatment shall
be completed prbr to final building approval"
St Lucie County requires.For the final inspection for CO,a Permanent Sticker to be placed on
the electrical panel box cover,listing all the treatments and dates of applications.