HomeMy WebLinkAboutInspection Doc Planning & Development SetviCs
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�jRegulation Division,
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• Fort Pierce, FL 349$2L
772-462-'2165 Fax 772-462-6U3 U�l�
Request for 30-Day Temporary Power ReiE:3se
Date: -7 Permit Number:
Project Address: 9 0 C;�T'r GP. a c-
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THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL.POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FO;-r THE PURPOSE OF i ESiING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST VIE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary{cower release is requested for the above stated purpose only, and there will be no
occupancy of any type, other than that permitted by construction during this time period.
Z. As witness by our signatures,we hereby agree to abide by all terms and conditions of this agreement,
including Building Division Policy, which is incorporated herein by reference.
3_ Al! conditions and requirements listed in the attached docume:.t enttled"Requiremer. for 30 Day '
Power for Testing"have been fulfilled and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be made in -Y�riting to the Building Official stating
the reason for the request. Power may be removed from these and/or a Stop Wo6,Order issued if
the Final Inspection has not been approved within 30 days. A fee cf$100.00 will be -equired to lift
the Stop Work Order.
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 MA.`,ARISE NOW OR Ili THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE .`.NCURRED DUE TO HE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREE-,MENT.
OWNER SIGNATURE DA
G F_ CONTRACTOR SIGNATURE DA
EL5LTW,6L CON ORS E DATE
RErE117D JUL 2 0 2016 •
INSULATION CERTIFICATION CARD
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a
Permit#: �Z- "
c- TCI CONTRACTING LLC DBA IBP OF WEST PALM
Insulation Contractor e
Jobsite Contractor. L `O
LIJ Jobsite Address:
1---
CL Section: Block:- Lot:
U lln�l.,ulstlon
I Manufactures Name:_" in
Insulation Type:
R-Value of Insulation:
Q Thickness of Insulation Installed:
Location of Insulation Installed f-
Date of Installation:
Walt Insulation
Manufactures Na
• .�. I
Insulation Type:
1 R-Value of Insulation:
11J
U Thickness of Insulation Installed;
Z Location of Insulation Installed: .
0 Date of Installation: 7l
QPlease Check One:
❑ Attic insulation installed with ventiiation per R806.1, R806.2 and
R806.3 Florida Residential Code 2014
Z
Conditioned attic assembly Insulation has been installed per R-806.4,
Florida Residential Code 2014
THI"A MUST BESTED N A PROMINENT LOCATION AND RETURNED TO
THE B NG DEP TP EFORE YOUR FINAL INSPECTION.
i
ri ulati n Contractors Signature
•