HomeMy WebLinkAboutInspection Docs SWLtde county
•
2300 Virginia Avenue
Ft]Pierce;FAL 34982
U�1�A (772)462-2172
CERTMCA'TE OF TERMT.E TREATAMNT
CONSTRUMON SOIL TRFATAMW i
PEMM#� /�� alz)-"/- - JOB AIDDRESS 1 J—6d /�62!k-
BUU.n
PEST CONTROL CONTRACTOR C C�
We,the undersigned,hereby certify that we have pretreated the above-described construction for
subterranean tern rites 5::accordance with the standards el the'National Pest Control!Association..
Squame feet of area treated: f hemimu used,
Percentage of solution: , �� Total gallons used: -5
Date of treatment: 1/�1�3f/�" Time of Treatmene 19
O Footing "
tstTeatment FIBCYO2-6 Ce,—.;jSdeofprotecdverreatment_forpreven&nofiermites_
Re-treat A weather reststunr jobsue pa4mg,board shall be provided to receive
duplicate Treatment Certfficwes as each required proteenve treatment is
0 Slab completed,providing a copy for she person the permit is issued to and
Ist Treatment another copy for the building permit fides. The Treatment Cerrificate shall
provide dw product used,identity of the applicator,time and date ofthe
the
U Re-t gt treatmenz site location.area trmterd,chemical users percent concentration
and manber of gallons=4 to establish a verifiable record ofprotective
Driveway treatment If the soil chemical barriermethod for termite preven on is used.
El Ist Treatment final g=eriartreaannt,shatt be completed priortofinal building appmyaL
Q R meat St Lucie County requires for the Gn%A iospeetetr for Ct i a Permmnent
13 Pools Sticker to be placed on the electrical panel bog cover,listing all the
Ist.TrTreatmentnt
treats is and..dates o€applications
(� Re-treat
❑ Other
0 1st Treat€nent
� Re-treat
❑ Fenmeiter for Final Inspection
Signature of exterminator
NOTE.-
There
OTE:There must be a com,,pleted fonn or each repked freatmew or re-freutlrtent and thisform must he on
the job sire to be packed up by the hxkvector at dme ofawh insppcffen or:he scheduled Lwpe+cdoa l
fail and a re-inspection fee diarged.
Revised 6/13!0,3 dmg
AL
SUPER, NIk" I"r
0 "Tfie On Time Concrete Company," -
CENTRAL CONCRETE SUPERMIX INC. 0—MV, +sl`Ill
-lr CONCRETE DISPATCHERS: ;}}'It :�i fieb Iil!liw ��L i Jai H I��,�1
A CHERS:
South Dispatch: (305)264-7101
North Dispatch: -(561)826-9364 CUSTOMER NO. DELIVERY TICKET° DATE
Block Dispatch: (305)805-3226
WWW.SUPERMIX.COM
MAIN OFFICE: 4300 S.W. 74th Ave. • Miami, FL 33155
PHONE: (305) 262-3250• FAX: (305) 267-0698
SERVING-MIAMI—DADE, BROWARD, PALM BEACH, MARTIN & ST. LUCIE COUNTIES
*,r:'i SOLD TO DELIVERY ADDRESS
i.;.
:I+.4y.,��fL:,_(.I,.Lr:;-- .i-.!_l7L �Iu:.�:c.:s�.'f,{ T'.i..c,-},.`•{ c
f-•/:fl. L. j
. i`.1�� 1i•i2;F` ! !.�ll',i;;i„ f: 1•�lli�!,, i__`.1b�El..;;';
QUANTITY ITEM DESCRIPTION ° UNIT PRICE EXTENSION
MINUTES — ALLOWABLE TIME' — PER MINUTEr—
EXTRA UNLOADING TIME CHARGE X$1.00• —
*6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE
SLUMP =�,. AMOUNT
THIS DELIVERY TOTAL CU. YDS.
OF YOUR ORDER FOR CU. YDS. TAX
•I, F
CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR .
PERFORMANCE OF ANY CONCRETE PLACED ABOVE DESIGN SLUMP OR.WHEN •
WATER IS ADDED. WATER ADDED ❑ YES ❑ NO GLS.
TIME ARRIVED ON JOB STARTED UNLOADING FINISHED'UNLOADING LEAVING THIS JOB TOTAL TIME
SUBJECT TO-THE TERMS, CONDITIONS AND 'CAUTION"WARNING LISTED ON BOTH THE
FRONT AND BACK OF THIS TICKET. _
TRUCK DRIVER .1 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. 21 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER .
�Op(UN,.q MIAMI•DOWNTOWN MIAMI•WEST MIAMI•AIRPORT•OPA-LOCKA•MEDLEY•PERRINE•PEMBROKE PINES
G'l1 Iq1
, ;•!I ;^ lel
. DEERFIELD•BOCA RATON•RIVIERA BEACH•STUART•W.BROWARD•FT.PIERCE•E.BROWARD•DELRAY
e ') nas050 PRODUCERS AND SUPPUERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK NRMCA
DELIVERY COPY
Nr
t:A TIONH FRE HUY 'M"' iXEDEM ", MORTAR, CONCRETE OR
GROUT MAY CAUSE' SKIN INJU_R °AVOID � N,TACT WITH EYES WHERE
POSSIBLE AND WASH A&PLY
EXPOSED SK N-AREROMPTWITH WATER.
IF ANY CEMENT MIXTURES GET;I "TO EYES" RI:N E 'IMMEDIATELY AND
REPEATEDLY WITH WATER AND',.GET PROMPT EDICAL TREXFMENT
SAWING, OR GRINDING OF: CC)I\I ETE MASONRY,,UNITS .{1r�AY RESULT
IN THE RELEASE OF DUST PARTICLES ,WHICH,"WITHOUT THE USE OF
PROPER EYE OR RESPIRATORY PROTECTION, COULD CAUSE EYE OR
NOSE .IRRITATION- H MATERIAL SAFETY DAJ-kSHEETS 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 PERMITTHE SAFE AND PROPER OPERATION OF HIS
EQUIPMENT: DRIVERS ARE NOT PERMITTED TO ADD WATER TO THE
MIX MOR TO GO BEYOND THE _CUR-B LINE,, EXCEPT UPON THE
AUTHORIZATION OF THE PURCHASER/PURCHASER'S AGENTAND HIS
ACCEPTANCE OF RISK FOR ANY LOSS OR DAMAGE.
BUYER, OR HIS AGENT, AGREES TO ASSUME RESPONSIBILITY FOR
CONCRETE, AND ANY PROPERTY DAMAGE RESULTING - FROM TRUCK
MAKIN-i DELIVERY BEYOND CURB LIME. ALL CLAIMS MUST BE MADE
A T T1 ?.7 OF DELIVERY.
IF IT BECOMES .NECESSARY TO BRING ANY ACTION TO COLLECT
.AMOUNTS DUE ON THIS INVOICE; PURCHASER SHALL BE.NESP ONSI L
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.