HomeMy WebLinkAboutInspection Docs Apr 18 2016 j7:05PM HP Fax page 1
Planning &Development Services
Building&Code Regulation Division
2300 Virginia Ave
Fort Pierre,FL$4982
772-462-2172 Fax 772462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 1ea4-o17e JOB ADDRESS: 2304eartaMAVS
BUILDER/CONTRACTOR: Dan'sconcrete
PEST CONTROL CONTRACTOR: Hannan Environmental Se.Mces,Inc.
PEST CONTROL LICENSE #: IB99418
We,the lundersigned, hereby certify that we have pretreated the above described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
11 Lft Termwor He
Square feet if area treated: Chemicals used:
PercentaIge of solution: -125% Total gallons used: 2.2 gals
Date of Treatment: 4118116 Time of Treatment: 2:21 pm
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Footing 4/18116 Slab
V Treatment 1s`Treatment
L Re-Treat ._._.Re-Treat
Driveway Pools
It Treatment 1t Treatment
j Re-Treat Re-Treat
Other 4118118 Perimeter for Final Inspection
11t Treatment
Re-Treat 4118118
ature of Date
Note: There must be a completed form for each required or re- ent and this form must be on the job
site to be pIdwd up by the Inspector at Gme of each Inspection or the scheduled Inspection w111 fail and a re lnspewon
fee Q�arge`
FBC104.216 CerOdate of Prot x&e Treatment for prevention of termites A weather resistant,jobsite posting board
shall be provided to receive dupllcate Treatment eerllticates as each required protective treatment Is completed,
provlding a copy for the person the permit Is issued to and another copy for the building permit flies The Treatment
Certificate shal/provide tfie product used,Identity 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 veritlable record of
protec&e treatment: Y the soli chemical barrier method for termite prevention is used,final exlerfor treatment shall
be caampleied prior to final bulldinq approval.
St Lucie County requires for the final Inspection for CO,a Permanent Sucker to be placed on
the electrical panel box cover, listing all the treatments and dates of applications.
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Revised 712412014 RECEIVED
APR 18' 2016
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(, 4 "The On Time Concrete Company"°
CENTRAL CONCRETE SUPERMIX, INC.
CONCRETE DISPATCHERS:
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
SOLD TO ;i +a!�j� a t :DIELIVERYgADD4RESS
du4NTITY' ITEM -DESCRIPTION_; UNIT PRICE EXTENSION
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EXTRA UNLOADING TIME CHARGE
MINUTES — ALLOWABLE TIME' — .PER MINUTE
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
CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH ANDVOR
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 YARNING LISTED ON BOTH THE-
FRONT AND BACK OF THIS TICKET.
TRUCK DRIVER I acknowledge that 10446 received and accepted the materials listed on this ticket. I
understand and agree to the terms on,brotth the front and back of..this ticket.
- RECEIVED BY: X
CONTROL 21'LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER
aok cosi MIAMI DOWNTOWN MIAMI•WEST MIAMI•AIRPORT•OPA-LOCKA•MEDLEY•PERRINE•PEMBROKE PINES
13-` , k,_� I t rT DEERFIELD•BOCA RATON•RIVIERA BEACH•STUART•W.BROWARD•FT.PIERCE•E.'BROWARD•DELRAY 11��
r" PRODUCERS AND SUPPLIERS OF QUALITY READY MIXED CONCRETE AND CONCRETE BLOCK
u�� . COPY NRMCA
CAUTIONH 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
NOSE IRRITATION. THE MATERIAL SAFETY DATA SHEETS 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 SA EAND PROPER OPERATION OF HIS
EQUIPMENT: DRIVERS ARE NOT PERMITTED TO ADD WATER TO THE
MIX NOR TO GO BEYOND TIME CURB LINE, EXCEPT UPON THE
AUTHORIZATION OF THE PURCHASER/PURCHASER'S AGENT AND HIS
ACCEPTANCE OF RISK FOR ANY LOSS OR DAMAGE.
BUYER, OR HISA ENT, AGREES TO ASSUME RESPONSIBILITY FOR
CONCRETE, ANDA Y PROPERTY DAMAGE RESULTING FROM TRUCK
MAKING DELIVERY BEYOND CURB LINE. ALL CLAIMSE
T TIME OF DELIVERY.
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 SHALLACCRUE
AT 1 1 /2% PER MONTH ON OUTSTANDING BALANCES.
PO Boz 880157, Port St Lucie, FL 34988-0157
Phone:(772)344-2847 . Fax: (772)344-7378 �re-eo�l8 o tion
www.hannanpestservices.com _ Termite Treatment For
Environmental Services Subterranean Termites
m
PROPERTY INFORMATLON" _ _' .__i; _.___.-___CONTRACT_OR'INFORMATION
-Treatment Date: — - ime: ✓t1 Contra tor: Gi^��J6
i Lot: Block: 9&tiom' Other:
Subdivision Name: //4 Slab Type �olithic 0 Floating/Stem Wall
Street Address if known): 2_��`4 �(� /Lfc, Ave Abutements 0 Patio 0 Entry EHYFveway
City/State/Zip: Ep L. rr (check box here for.appropriate method)
Owner Name(if applicable): t I PRODUCT TREATMENT INFORMATION
It is the responsibility of the contractor to notify HANNAN ENVIRONMENTAL Treatment Type(must check one)
SERVICES for all required abutting sprays.
Wf itial Under-Slab ❑Supplemental ViKal ❑Addition
CERTIFICATE OF COMPLIANCE ❑Bora Care(wood treatment) ❑ Pool Deck ❑ Retreat
HANNAN ENVIRONMENTAL SERVICES guarantees the building has Product Applied ❑ Bifenthri ❑Demon TC
received a complete pre-treatment for prevention of subterranean
termites.Treatmentisinaccordance with the rules andlawsestablished
Bora Care �I ermidor HE❑Other:
by Florida Department of Agriculture and Consumer Services.
Mixed Product Applied :ZZ Gallons Concentration: %
this box is checked, .the final perimeter treatment has Square Feet Treated: Linear Feet Treated .
been completed and the I]owing certificate of compliance
is av �I ble. Please Call (772) 344-2847
or visit www.hannanpestservices.com.
E• For information about
Applicant's Name(pie.. e pri 0 additional pest control services.
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