HomeMy WebLinkAboutInspection Docs 'COUNTY
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT : . � f, �� __ : JOBDDRESS.• Ge��. //V(&Zl
BUILDER/CONTRACTOR: le
c� ,e c�t -�
PEST CONTROL CONTRACTOR: I - k-0
PEST CONTROL LICENSE #: g 4 t.-;? I
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: Chemicals used: /vi�/r e ,
Percentage of solution: j Total gallons used:
Date of Treatment: Time of Treatment ;f. i-11vIf F
`
Footing Slab
1s'Treatment It Treatment
Re Treat Re-Treat
riveway Pools . RECEIVED FEB:2910i!
1st Treatment 1't Treatment
Re-Treat Re-Treat
Other Perimeter for Final Inspection
1st Treatment
Re-Treat ��
ignature of Exten-ninator
Note. There must be a completed form for each required treatment or re-treatment and this form must be on the job
site to be picked up by the inspector at time of each inspection or the scheduled Inspection will fail and a re-inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for ptevention of termites A weather resistantJobsite posting board
shall be provided to receive dupllcate Treatment certificates as each requiredpmtective treatment is completed,
providing a copy for the person the permit is issued to and another capy for the building permit files The Treatment
certificate shall provide the product used, identr`fy of the applicator, time and date of the treatment,site location,area
treated, chemical used,percent concentration and number of gallons used, to establish a ven able record of
protective treatment if the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to fnal 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 otapplications.
r
QS" ` C CRETE DISPATCHERS:
�;_-- Nr�„iv11-DADE: (305) 264-7101
DEERFIELD: (954) 480-9333
e_.. 1 �+ � �� BLOCK PLANT:(305) 805-3226
Fl "The On Time Concrete Company"° ! 1 WWW.SUPERBLOCK.COM
CENTRAL CONCRETE SUPERMIX, INC.
CUSTOMER NO. DELIVERY TICKET DATE
MAIN OFFICE: 4300 S.W. 74th Ave. • Miami, FL 33155
PHONE: (305) 262-3250 • FAX: (305) 267-0698
SERVING MIAMI-DADE, BROWARD AND PALM BEACH COUNTIES
SOLD TO DELIVERY ADDRESS
-� .t-r tib' - i( :fir,... r..•. a T
-.�..,#., ,'3 ,.;�I':•'1 ;: li't:.. �_{l.. ��;,.r i',L! . f'I{_3 1 �y.'-. :. .
QUANTITY DESCRIPTION PRICE UNIT EXTENSION
`i? t ii?i
I7(i7,
I -
MINUTES _ ALLOWABLE TIME' — PER MINUTE —
EXTRA UNLOADING TIME CHARGE X$1.00
"6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE 1
SLUMP AMOUNT
THIS DELIVERY TOTAL •, ,., ; ,,�, Cu. YDS.
OF YOUR ORDER FOR : , CU. YDS. TAX
CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH AND/OR
PERFORMANCE OF ANY CONCRETE PLACED ABOVEIDESIGN SLUMP OR WHEN • ♦ i . s;:
WATER IS ADDED. WATER ADDED ❑ YES YNO rrl-) 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 I acknowledge that I have received and accepted the materials listed on this ticket. I
.understand and agree to the terms on both thelfron�a:nd back of this ticket.
RECEIVED BY: X ��---
CONTROL 10 LOADING POINTS AT 7 MIAMI-DADE, BROWARD AND S. PALM BEACH COUNTY PLANTS TO SERVE YOU BETTER
n cos,. MIAMI-AIRPORT'-OPALOCKA•MEDLEY•PERRINE-PEMBROKE PINES•DEERFIELD ((��
4-
37974 oPRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK(``�r
"SSON NRMCA
DELIVERY COPY