HomeMy WebLinkAboutInspection Docs Apr.20.2016 09:39 AM Josl'�—Ioncrete Perfection 7723430-1 PAGE. 1/ 1
Planning&Development Services
Building &Code Regulation Division
• 2300 Virginia Ave
Fort Pierce,FI.34982
772-462-2 .72 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT # :, 1 � JOB ADDRESS: 605 E. Midway Rd., f=ort Pierce, EL.
34982 BUILDER/CONTRACTOR:
PEST CONTROL
CONTRACTOR: Trusty's Pest control PEST CONTROL
LICENSE #:JE3183203
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: 140 Chemicals used: upstar Gold
Percentage of solution: 0.064 Total gallons used: 15
Date of Treatment: 04/19/16 Time of Treatment: 11:08 am
Footing Slab
1St Treatment —1St Treatment
_Re-Treat Re-Treat
xxxx Driveway Pools
WXx_ 1"t Treatment Ist Treatment
Re-Treat Re-Treat
____Other —Perimeter for Final Inspection
1"Treatment
Re-Treat --
Signature of Exterminator
Note. 'There must be a completed fom7 for each requlrad treatment or re-treatment and this form must be on the job
site to be picked up by the Inspertorat time of each inspection or the scheduled Inspectlon will fall and a re-inspettion
fee charged.
FBC104.2.6CertfficateofProtectiveTreatment torpreventionoftermites, Aweather resistantjobsltepost/nghaerd
shall be provided to receive duplicate Treatment CenY lcates as each required pm&xV ve treatment is completed,
providing a copy for the person the permit is issued to and another copy for the bulldlnq pemmlt files The Treatment
Certificate shall provide the product used, Identity of the applicator, time and date of the treatment,site location,area
treated, chemical used,pent cioncentiatlon and number of gallons used, to establish a verifiable record of
protett/vve treatment If the nail chemical barrier method for termlte prevention Is used, final exterior treatment shall
be completed prior to hiral building approval.
St Lucie Counter 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.
ZCCMCX'
�y , � ,:�+ �It r�
150 �+
M ow e) 3 . 14AY 0 2 201
PERM I.TING
Plant: Begin Loading: To Job: Arrive Job: Start Unload: Finish Unload: Lea, 'Job: Return Plant:
Customer Code: Customer Name: Customer Job Number: Order Code 1 Date:
Project Code: Project Name: Project P.O.Number: Order P.O.Number:
Ticket Date: Delivery Address: Map Page: Map/Row/Column:
p {
Delivery Instructions: Dispatcher:
Ticket Number
, y
Due On Job: Slump: Truck Number: Driver Number: Driver Name: End Use:
S�:fi- f`''1'i: t3i7 COL_I:'NI''i\l 1)E::}r4''l s ;+ .i GIE L u
LOAD CUMULATIVE ORDERED MATERIAL CODE PRODUCTION DESCRIPTION UOM UNIT PRICE AMOUNT
'QUANTITY QUANTITY QUANTITY
i`•., _ .. ..._ ...��. t_' t ei_} t 1:;_ ...._�r-.` _ ,r:t�Ft,.'9i_, 'I'.:.::.7.�T
Cash Check#/Auth Code: Signature of Driver Receiving Cash:: 1 Cash Received: Total COD Order Amount to Collect
Check
✓' Without Standby Charges:
� :r'" .
Charge f
Comments: ✓ '
41 '�'} WATER ADDED: GAL YARDS IN DRUM:
WHEN ADDED.
SIGNATURE
CURB LINE CROSSED AT OWNER'S/AGENT'S REQUEST:
F; ^I A I rS
SIGNATURE
_ i=�tF"i:fFt if!_L_ i..Ci='!iJ _ i!�:E';T?�,
❑LOAD WAS TESTED BY:-
Notice: Our drivers will make every effort to place materials where the customer,designates,but the SPECIAL TERMS: 'Any water added is at customers own risk. If water is added on job,concrete strength
Company assumes no responsibility for damages inside curb or property line. Customer agrees to the is no longer guaranteed, WARNING: Product may cause skin and/or eye irritation. CAUTION: Material
terms of sale and delivery and accepts concrete as is. Due to important factois which'are out of our may be hazardous to your safety and health: Please refer to the backside of this ticket for important
control after delivery,this Company will not accept any responsibility for the finished results. No credit for safely handling information,and to the material safety data sheets for additional information.
returned concrete. Buyers exceptions and claims shall be deemed waived unless made to us in writing AUTHORIZED SIGNATURE:
within one business day after the receipt of materials. O
68UNIVERSAL r-'CE:t:1 it`•.a LOAD i'+il_I{yl
INVOICE
This Delivery Ticket incorporates herein by reference Buyer's previously executed Credit Application, if any, Seller's Standard
Terms and Conditions, Seller's Quotation, if any, and Seller's Order Confirmation (including limitations of warranties), as if fully
set forth on this Delivery'Picket("Agreement").Seller will provide the Standard Tenns and Conditions upon request. Buyer agrees
that, unless otherwise noted on the front hereof, all quantities and items were delivered as indicated and further expressly agrees to
pay in accordance with the Agreement.
h AGGREGATE / CEMENT / CONCRETE PRODUCTS / FLY ASH
Aggregate products are naturally occurring materials including limestone,dolomite,granite,volcanic rock,sand;gravel,and other
siliceous materials. Cement products include Portland cement, masonry, pozzolan (Type IP), roof tile, and stucco. Concrete
products include Portland cement' and aggregate products including limestone, dolomite, granite,volcanic rock, sand, gravel, and
other siliceous materials.These products, including fly ash,may contain more than 0.025% crystalline silica.
CAUTION!
Hazards: Freshly mixed wet cement and/or fly ash can cause eye irritation, skin and eye burns and allergic skin reactions.
Dry concrete and aggregate dust may cause imitation to eyes, skin, and/or respiratory tract. Dust from handling,
crushing, grinding, cutting and/or drilling may contain:silica, which may cause silicosis and cancer if inhaled.
If:ingested,keep warn, at rest,and drink large amounts.of water. Fly Ash may contain trace amounts of amino-
nia. Moisture can cause the ammonia to be released. Inhalation of ammonia can cause coughing and irritation
or burns of the nose, throat and lungs. See physician. Health risk depends on duration and level of exposure.
E=.
Safety: Avoid contact with eyes and prolonged contact with skin.Wear gloves,eye protection,and appropriate protective
clothing. Wash hands thoroughly with mild soap and water after handling. Avoid breathing dust. If exposed to
dust.above recommended.limits (see MSDS), wear suitable NIOSH-approved respiratory protection.
First Aid: In case of eye contact,immediately flush eyes with flowing water for 15 minutes. If dust is inhaled,move to fresh
air.If wet cement contacts skin,rinse thoroughly with water. Get proper medical attention if irritation persists.
CEMEX,Memorial Hermann Tower '
929 Gessner, Suite 1900
V7 combined Houston,Texas 77024
02/12 For more information please visit www.cemexusa.com.
Este ticket de entrega incluye tomo referencia al comprador (ya previamente ejecutada en su apticaci.6n de credito); cualquier
termino estindar, condiciones del vendedor, propuestas del vendedor y or-den de-confirmaci6n del vendedor (con liinitaciones y
garantias),como acuerdo total del ticket de entrega("Contrato").El vendedor proveera los terrninos estandares y condiciones detal-
lados on caso de asf ser requeridos.Con este documento,el comprador acepta los mismos ya antes mencionados y que las cantidades
y materiales fueron entregados como se expresa en el mismo.Acepta pagar el monto de acuerdo al contrato; al menos que se identi-
fique con una nota a] frente de este documento.
AGREGADOS / CEMENTO / PRODUCTOS DE CONCRETO / CENIZAS VOLANTES
Los productos de agregados son materiales naturales como piedra caliza, dolomita, granito, coca volcanica, arena, grava y otros
materiales siiicios. Los productos de cemento incluyen Cemento de tipo Portland, de albanileria, pozzolan (tipo IP), azulejo de
azotea y estuco. Los productos de concreto incluyen cemento Portland y productos de agregados como piedra caliza, dolomita,
granito,coca volcanica,arena, grava,y otros materiales silicios. Estos productos incluyen cenizas volantes (fly ash) la cual puede
contener mas de 0.025% de silicio cristalino.
IM,
11
Peligros: Mezcla de cemento fresco y/o cenizas volantes pueden causar irritaci6n en los ojos, quemaduras en piel y ojos, y
reactions alergicas en la piel.Concreto seco y polvo de agregados,pueden causar irritaci6n en los ojos,piel y/o en
]a zona respiratoria. Polvo del manejo en el trituramiento,pulido, cone y/o perforaci6n puede contener materiales
silicos,los cuales pueden causar silicosis pulmonar y cancersi son inhalados. En caso de ser ingeridos,mantenerse
on temperatura calida,reposar y tomar grandes cantidades de agua.Las cenizas volantes pueden contener amoniaco.
Seguridad: La liumedad puede causar la liberaci6n del amoniaco. La inhalaci6n del amoniaco puede causar toser, irritacion o
quemaduras en la nariz, garganta y pulmones.Acud.ir inmediatamente al medico. El riesgo en la salud depende en
la duraci6n y el nivel de la exposici6n.
Seguridad: Evite el contacto con ojos y contacto prolongado con la piel. Use guantes,protecci6n en los ojos y ropa
Primeros adecuada para protecei6n.Lavese las manos con jdb6n suave y agua despu6s del manejo de niateriales.Evite inhalar
auxilios• polvos. Si se expone a polvos inns de los liinites recomendados, use proteccion respiratoria.
Primeros auxilios:En caso de contacto en los ojos, inmediatamente fluya agua en la parte afectada por 15 minutos.
Si se inhala polvo, exp6ngase a aire fresco. Si el cemento fresco tiene contacto con sus ojos, ldvelos a Tondo con
agua.Acuda a atenci6n indica inmediatamente si la irritaci6n continua.
CEMEX, Memorial Hennann Tower
929 Gessner, Suite 1900
V7 combinado Houston,Texas 77024
f 02/17 __ Para mas informaci6n visita www.cemextisa.com.