HomeMy WebLinkAboutInspection Docs 03l21J20d3 11:00 //CNOL1iwV
St Lucie County Inspections
. . �. 2300 Virginia Avenue
Ft Pierce, FL 34982
(772}462-2172
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT g �l_ hS.�d JOB
PEST CONTROL CONTRACTUI� ,-s-
PEST CONTROL LICENSE#
We,the undersigned,hereby certify that we have pretreated the shave-described construction for
subterranean termites in accordance with the standards of the National Pest Control Association.
Square feet of area treated: 3 G 0 Chemicals used: 17; rz ni'~.y�2L,��
Percentage of solution: 6 t& - Total gallons used: '-A . c,
Date of treatments 2 - n a -t IS Time of Treatment: � .��!�,�. t4
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1st Treatment FBC104.2.6 Certificate of Protective Treahne rt forprevemion ajterm-ites.
❑ Re-treat A weather reskcant jobsite posting hoard shall be provided to receive
❑ Slab duplicate Treatment Certificates as each required protective treatment is
completed,providing a copy for the person the permit is issued to and
❑ 18t Treatment another copy far the building permit files. 77te Trreatment Certicare shall
provide the product used identity of the applicator,time and date of the
❑ Re-treat treatment site location,area treated,chemical used,percent concentration
EdDriveway and number of gallons used,to establish a verifiable record ofprotecrive
treatment. If the sail chemical barrier method for termite prevention is used,
IYlst Treatment final exterior treatment shalt be completed prior to final building approval
❑ Re-treat St Lucie County requiceq for the final inspection for CO,a Permanent
13 Pools Sticker to be placed on the electrical panne!box cover,listing all the
❑ 1st Treatment treatments and dates of applications.
❑ Re-treat
❑ Other
❑ lst Treatment
❑ Ile-treat
❑ Perimeter for Final Inspection
Signature of exterminator
NOTH.
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
Riveted 4913M2 aux fail and a re-inspection fee charged
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`The On Time Concrete Company"0
CENTRAL CONCRETE SUPERMIX, INC. I INN����l 111 1� 111N�IiH 11).1ji1jil III iiil 11,
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 DELIVERY ADDRESS
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QUANTITY ITEM, DESCRIPTION UNIT PRICE EXTENSION
iii i
MINUTES ALLOWABLE TIME* PER MINUTE
EXTRA UNLOADING TIME CHARGE X$1.00
*6 MINUTES PER CU. YD. ALLOWED SHORT LOAD CHARGE*
SLUMP
THIS DELIVERY TOTAL CU. YDS. AMOUNT
YOUR S. TAX
__Q_FYO ORDER FOR CU. YD
CUSTOMER OR HIS AGENT ASSUMES FULL RESPONSIBILITY FOR STRENGTH ANP/OR
PERFORMANCE OF ANY CONCRETE PLACED ABOVE DESIGN SLUMP OR WHEN •
WATER IS ADDED. WATER ADDED U YES U NO GLS.
TIME ARRIVED ON JOB STARTED-LINLOADING1 FIMSHID,UNLOADING. LEAVINGTHIS JOB TOTALTIME
r
V17
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 oh-,both/the front and back of this ticket.
RECEIVED BY: _X
CONTROL, 21 LOADING POINTS AT 16 LOCATIONS TO SERVE YOU BETTER er'.3f0d L 330 STT
MIAMI•DOWNTOWN MIAMI-WEST MIAMI-AIRPORT-OPA-LOCKA•MEDLEY-PERRINE-PEMBROKE PINES
S5 311 DEERFIELD-BOCA RATON-RIVIERA BEACH-STUART-W.BROWARD-FT.PIERCE-E.BROWARD-DELRAY
�1 4 ti__ PRODUCERS AND SUPPLIERS OF QUAUTY READY MIXED CONCRETE AND CONCRETE BLOCK
11RIP-1 NRMCA
DELIVERY COPY
CAlulTIONw.f. FRESHLY MIXED CEhIENT, MIORTAR, c'..'ONCRETE OR
GROUT MAY CAUSE SKIN INJURY AVOID CONTACT WITH EYES WHERE
IROS OC3LE AND WASH EXPOSED SKIN AR'�E-AS PROI VIPTLYWl-r,'H W15TER.
I.- -S GET INTO 's-"" ES, RINSE lMNAjEDlJ\TE[,Y AND
IF ANY CEM.;".'N-rl MIXTURE
MEDICAL -'i-R'-,,Nf'M"--NT
R'EPEAT EDILY V4'7'H WATER AND GET 51 PIP.0blIP 5 1 c rz
SAWiNG, (DR GRINDING OF CONCRE-li-E. MASSONP-1)" UN111"S fltfV\",( RESULT
IN TIHE RELEA.S.E OF D"Ll!ST PARTICLES Wl-l'CH, WIT�4OU'7- USE OF
PROPER EYE OR RESPI,,-��t'�k�l,-'(-)F-�iY' PROTECTION, -0.11 R
E---
PRODUCTS SOLD BY CENTRAL SL.JPE� NfiiX, hNIK1 Al."lE
Ai/AILABLE- UPON REQUEST
UNLOADINGDRIVEER S ARE PRO6 I0'TED FRO'I'A DEL.!VERING
CONCRETE EXCEPT UNDER THI-- TRUC�'-%�S OWN POWER, AND WHERE
SITE CONDITIONS PERMIT THE SAFE ANDPROPER OPERPN �10N OF HIZ3
EOUIPME.�]T DRIVERS ARE NOT PERI,\A�TTED TO ArlD- �'�JA' T-17!71TO -rH""'
1-0- 00 BEYOND THE (" URB INE, EXCE :-:'-f UPON THE
A6THORIZ/kFION OF THEPURCHAS--E-R'IPURC.IHASER5SAGENTAND HIS'
ACCEPlFANCE OF RISK FOR ANY LOSS OR DAMAGE.
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 BEIMADE
AT TIME OF .DELIVERY..
IF IT BECOMES NECESSARY TO BRING ANY ACTI ON TO COLLECT
AMOUNTS DUE ON THIS INVOICE, PURCHASER SHALL BE RESPONSIBLE
FOR REASONABLE ATTORNEYS FEES AND COURT COSTS INCURRED
BY VENDOR IN SECURING COLLE c"riONS. INTEREST SHALL ACCRUE
X-1 1 1 /2% PER MONTH ON OUTSTANDING BAI-ANCES.