HomeMy WebLinkAbout05090579 (2)
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St. Lucie County
Building & Zoning Department
2300 Virginia Avenue
Fort Pierte, FL 3498Z
772-462-2165
Fax 772-462-1148
REceIVED
FEB 2 B 2007
PUblic Works
St. Lucie County, Fl
. Request for 30-Day Temporary Power Release
Date: ~1 ~ 'C:>:¡--- PermitNumber:~ of} D5ó1. o51C
Property Address: ~ tic ~4· DlI~ ~p ~L. Co-
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE
ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR
THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for tbe above stated purpose onlYt
and tbere will be no occupancy 01 any typet other than that permitted by construction
during this time period.
2. As witness by our signatures, we hereby agrëe to abide by aU terms and conditions
of this agreement; Including Building Division Policy, wbich is incorporated hereio by reference.
3. AU conditions and requirements listed in the attached document entitled
~'Requi..ements for 30 Day Power for Testiog" bave been fuUlIJed and the p."emise is ready for compliance inspection.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND
THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE
WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF Tms TRANSACTION, INCLUDING
ANY DAMAGE WHICH AMY BE NCURRE DUE TO THE DISCONNECTION OF ELECTRICAL
POWER IN THE EVENT OF VIOLATION OF TmS AGREEMENT.
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DATE
10/10·d
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3-04-1995 3:33PM
FROM
P. 1
ST. LUCIE COUNTy PUBLIC ':V()f{KS
BUILDING & ~ONING DE.P A~~'MEN'r
BUILDING PERMIT
SUB-CONTRACTOR AGRE}~M ENT
St. Lucie County Contractor Certification Number:
9 {J7¿~___
~ cc () l~~ fj~........._,~
State of Florida Certification Number (If IPPHcable): .
...................._........................................_.~........_.~~........
the
~ DOteR ·
(type of COnstrudktn trade)
has agreeÇj to be
anyfmdhridua'nanJe) . ¡ .
sub-c~ntractorfor ¡£¡¡t./:.¿i~lJí)jf¡ÇOc-lot:5, 'IrK. ,
· (name of the prin}o co"tt'Acto!)
for the projeçt located at 5{)C¡ D ])u nYJ o1;ofrJ.. Itisundetstood thOat.
(street address or øroperty tax ID') 0
if there is any change of status regarding our participation 0 with thè above .rnenti~ne~
. .
project, I will immediately advise the Building and Zoning Dep~rtrnent iof St. Lucie .County
by personally filing a Change of Contractor
Form (SLCCDV FORM NO. 004-00).
...........~.." "... ~...~.--.......~*........................._.;....,,*......
IFtER (original slgnalurês têqutred):
EJbv¿ 5. ~q/1¡¡) ·
print name
r-/-ó" 0
date
s;gnatur~
business name:
address:
city. state, zip:
phone:
1Á~;;~ ~:!1~~t1~~:þl~n~j~n~
'77d - "3 -3 '5 - ., '5 'So :...-_.~
!
OFFICE USE:ONL Y:
~
ISSUE DATE i ,f
PERMIT l- . .
~! , :1 ~............~ ___J
SLCC[)V F()RM NO . 002.00
~4~,~.·....·.,.,:.·.·......,........~~
~:t{¡¡'/Tt,j;¡~lf~:~__;....~.
Code Compliance Division
2300 Virginia Avenue
Fl Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-2522
http://stl uc ieco. gov / ce
Building
Receipt
Date: 01 September 2006 Receipt #: 0000044245
Job Address: 5090 DUNN RD 'ermit Number: SLC- 0509-0579
Received By: serranob Amount: $25.75
Paid With: VS :redit Card Number: XXXXXXXXXXXX1952
Check Number:
Paid By: GREGORY BRITT Sign:
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Dec-04-06 03:41P Tailored Foam of Florida 407 ~30 9174
P .. á 0 ?-,
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3900 St. Johns Pkwy.
Sanford, FL 32771
TAILORED
FOAM
OF FLORIDA, INCORPORATED
Servif19 Florida and
SoulI1BI'I' Georgia sJi}oe 1988
Phone: (407) 332..0333
Fax: (407) 830..9174
CORE-Fill 500 FIRE RATED MASONRY INSULATION
CFlrl"U:JCA TrON OF INSULA TTON INSTALLATION
r)ecemb(~r 4, 2006
H()SPT('I£ ()F TH1~: -I-REAST,) I{E (-~()AS1'
S09() J)lJNN R()AJ)
FORT PIF,R(~.E, FLORIDA
F 065.:'5
11\"STALLATION UATE: AUGUST 2006
S1'A'l'LMI-:\JT 01" l~()Mrr ,JANl~E:
\'Iv/c, the undersigned, hereby certify thflt the 1i.)all1~d-in-place thermal insuJation has been inslaJIed
in the above referenced huiJòing in accordance with the project plans and spcci tication::;, élnd in
accordance \vith the n1r-lnUh1clLlreT~ rccolllrnenùations. The material furnished and installed is of
the type Îl1Jicat.et1 b~)()\v:
M.ASONR 'y' 'À' AI,I, INSL..1Lf\ TT()'N:
1\,18uufÜ.cturer: Tailored Chemical Produds:, Inc.
Material: c..~ORE-FJr,r, 5()ü
11'1.\' lilll ,¡Ol" """(llue
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12"blockJ60 Ibs. d~m:ity
, (1' Value
O. () 7
(J. () 5
'H' ~Tal,'e
14.2
20.0
The Fire \Vall Rating f()J' 8" and 12" CMU is
4 ]\()LLrS i 11 t'^!ü hOtlf hl()cl,.
F l )(lJn J)CI1Si t.v : . R I b/ Cll. ft.
\VARJ{ANTED FOR ONE (1) YRAR(S) FROM DATE OF O\VNRR'S ACCEPTANCE.
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(Îf{}":<..i I), LY~LS1·T\A, \iicc-Prcsitlel1l
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[)ARLA L" EV AN S. Notary PllbJic
-K1\... D"M lEva....
· ,~) My CommIssIOn D02BOM
"\_~,. EJ!ØÏrel December 1~. 2001
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ACOUSTIC SOUNDPROOFING
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St. Lucie County
Building & Zoning Department
2300 Virginia Avenue
Fort Pierce, FL 34981
772-462-]'165
Fax 772-462-1148
RECEIVED
FEB 2 8 2001
public Works
st. Lucie county, FL
. Request for 30-Day Temporary Power Release
.-t}
Date: '21 ~ 0:t- PermitNumber:~ D5t:F(.. 057'1
Property Address: ~ qa ~~ PU~ ~p '&]L CO..
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE
ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR
THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
INSPECTION. IN CONSIDERATION OF APPROVAL OF TIlE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
J. This temporary power release is requested for the above stated purpose only,
and there will be DO oct'.pancy of any type, other than that permjtted by construction
duri.lg this time period.
2~ As witness by our signatures, we hereby agree to abide by nl) terms and conditions
of this ~greement, ÎDcJuding Building Division Policy, wbieb is iDcorporated Ilcrein by reference.
3.. All conditions and )"equirements listed ÎII tbe attaehed document entitled
"Requirements for 30 Day Power for Testing" bave been fulfilled and the premise is ready for compliance inspecti~n~
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS~ ST. LUCIE CO~TY~ AND
THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE
WIllCR MAY ARlS'E NOW OR IN THE F'UTURE OU1~ OF TmS TRANSACTION; INCLUDING
ANY DAMAGE WHICH AMY BE NCURRE DUE TO THE DISCONNECTION OF ELECTRICAL
POWER IN THE EVENT OF VIOLATION OF Tms AGREEMENT.
-Z1
DATE
2þ~
DATE
10/10-d
£191+£8C::+C::¿¿
lSNOJ llI~8-11I~8
SÞ:Þ1 ¿00C::-8C::-83~