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J un, 26, 2 0 0 7 1 0 : 3 2 AM
No,9011 p, 5
DATE; ~(/ ;,'/ 0 7
PERMIT NUMBER:
..<}Lc. - 070~- 00'1'1
/, 77J~t{~-'W3 .:
RE~UEST ·FOR 30 DAY TEM"PORARY POWER RELEASE
i ..
ST. LPCIE COUNTY BLD'G. & ZONING
2300 VIRGINIA AVE
FORT PIERCE,} FL 34952·5652
Ph. (561) 462...2165
FAX (561) 462..1148
PROP¡RTY ADDRESS:'
~g:a~lf lJ~Þ &£.
·TØE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL· POWER TO
THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED, TIllRTY (30)
, ·DAYS, FOR THE PURPOSE OF: TESTING SYSTEMS AND EQUIPMENT IN
. PREPARATION ·FOR FINAL INSptCTION. IN CONSIDERATION OF APPROVAL OF
THE REQUEST WE HEREBY ACKNOWLEDGE ANn AGREE AS FOLLOWS:
1. This temporary powér release in reqµested for the above stated purpose only,
and ·the~e wUl b~ DO occupanq· of any 'type, ,other than th~ ermitted by
constructioD dunDg this time period. . ~;p
2. As witness by our signatures, we hereby ..gree to abide b eA~s aDd
conditions of this agreen1e~t, including. Building. Division PoU~Ch is
incorPorated herein by ·referenee.. . .
. 3. All conditions and requiremoDts.listed in ~lio attached document entitled
ßRequirements for 30 Day ·Power for Te~tins~ have been, fnlfiUed and the
:pr~mises.is ready for complianc.e inspection, . ' .
I .
~.uEREBY ~LEASE AND ÁG.fmE TÖ'lÍöLn·HA:äMtÊSS, .Sf."LUCIJt COiJNTY,
AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF
NATURE WInCH MAY ARISE NOW OR IN: THE ,FUTURE OUT QF THIS
·TRANSACTION,INCLUDING ANY DAMAGES WHICH;MAY BE INquRRED DUE ~O
THE DISC ONNECTIÖN' OF EtÊëTlüëÄL"PÔWÊRÏN TiÏÈ EVENT OF VIOLATION OF
. .TIJIS AGREEMENT. .
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.SIGNAT '
F; , b ß. ,".".s ef4S. Þ'I')C'C . # ~ ·
ELECTRICAL CONTRACTOR
J un. 26, 200 7 1 0 : 3 2 AM
No.9011
ft!r#JH-# - 0 ?DZ.- OO~9
INSULATION INSTALLATION CERTIFICATE
TO; Adams Homes of NW FL Inc.
J08#: 44345 JOB NAME: SDÐC Home
LOT ~ BLOCK: 57
SECTION: 6
JOB ADDRESS: G204 Dlland Ave.. Fort Ple(Cè
The undersigned hereby certifies that insulation has b""n installed at the above dðscribed property as
follows:
]. Exterior CBS walls have been insulated with ............................Check (Jne () Spray on cellulose
to a. thickness of N/A inches~ which thickness, according to the ( ) Fiberglass blankets
manufacturer, FiMFoil V> Alwninum Foil
Density N/A will yield an tlRtl value of 4.1 ( ) Other
Exterior Frame wa.l1$ have been insulated with ·...........................Check one () Spray On cellulose
to a thicknè$s of 3.50 inches, which thickneSl$t according to the ( ) Fiberglass blankets
Ina.nufacturcr, CertainTeed ( ) Aluminum Foil
Density N/A wit) yiold an "Rn value of 11 ( ) Other Spray Foam
2. CeiIings Level havo been insulated with .........................Check one () Fiberglass blankets
to a thickness of a.5 ìnchos, wbich thickness, according to the V) Fiberglass loose fiU
manufacturer! CertalnTeed ( ) Aluminum Foi!
Density N/A will yield an "R" value of 19 ( ) Other I Cellulose
Ceilings Cathedral have been insulated with .........................Check one () Fiberglass blankets
to a thickness of 8.5 inches, which thickness, according to the CI) Fiberglass loose fiU
manuföcturer, CertalnTeed ( ) Aluminum Foil
Density N/A wiU yicld an "R" value of 19 ( ) Other Cel1ulose SAB
3. Interior knee walls have boen insulated with·................................Cbeck one (I) Fiberglass blankets
to a thickness of 8.25 inches, which thickness, according to the ( ) Polyurøthane
manUfa.èturor~ CertalnTeed ( ) Spray on cellulose
Density N/A will yield an fIR II value of 19 ( ) Other Cellulose
4. Garage partition walls of conditioned living areas have been
insula.ted with......... n........................................... +....... n............... . Check one
to a thickness of 3.50 inches, which thickness, according to the
manufacturer, Certain T sed
Density N/A will yield an ttR" value of 1 1
V) Fiberglass blankets
( ) Spray on cellulose
( ) Polyurethane
( ) Other
MULTI FAMILY RESIDENTIAL CONSTRUCTION ONLY: The common (party) walls separating
different tenants $hall be insulated as follows - FramcIMetal stud walls R-ll (Min.); CBS or Concrete walls
R-3 (Min.); by EnDrgy Code requirements. See Energy Code Rev. !lS7, paragraph 903.2(b), on page 9-17.
latest edition. These !'minimums levels of insulation" are not included in the Energy Calculations, but shan
be installed in th~ field,
NOTE: Densities of sprayed on, loose fill, Or any other composed-on site insulation shall b . P.C.F.
(lb/ft3) average ofthree (3) IIDRY SAMPLES" of actual installation.
LEED FIRRPROQPINO & INSULA TJON INC
Insulation Contractor
Ft. Pierce - 02~ 11904
Insulation Contractor's CC#
Insulation Contractor Signature
6//~Lo7
Date of e'"ertificatÍon
Builder's Name - Builder's CC#
.....,......,........t..!f~..~
ROBUTAI~,,~ .
· A Camml DDo8e3e
.JI E.,. 511712010 .
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