HomeMy WebLinkAbout30 Day Temporary Power releaser-
planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34952
772-462-2165 Fax 772-462-C443
Request for 30-Day Temporary power Release
Date: _ -- I /Q ;
Permit Number: v6 —
Project Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL
POWER TO THE ABOVE DESCR ED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING113
SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPTHE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: ROVAL OF
1. This temporary power 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. All conditions and requirements listed in the attached document entitled "Requirements 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 writln9 to the Building Official statIn will
the reason for the request. Power may be removed from the site and/or a Stop Work Order issued if
the Final Inspection has not been approved within 30 days. A fee of $100.00 will be required 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 MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
SIGNATI ►RF
CONTRACTOR SI— GNATURE
DATE
DATE
DATE
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 17®(o -OXX-7 JOB ADDRESS:3 12-1 Y-e_k[yLgs�. 0atc
BUILDER/CONTRACTOR:
PEST CONTROL CONTRACTOR: M P�S.SF_q 5 � k u �C i� S , T �J (-
PEST CONTROL LICENSE #: �CQ) �.
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.
ire feet if area treated: q Chemicals used:nr_ Cc...�
Percentage of solution: �u
Date of Treatment: _ . 1121 I 1 g
Footing
1st Treatment
Re -Treat
Driveway
1st Treatment
Re -Treat
Otherc�T�.,�.1A73-�.c,,�n,w.,,j—
lst Treatment
Re -Treat
Total gallons used:
2-2-
Time of Treatment: cJ " 15 q M
Slab
1st Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
Signature of Exterminator Date
Note: 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 fail and a re -inspection
fee charged.
FBC104.2.6 Certificate of Protective Treatment for prevention of termites. A weather resistant jobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed,
providing a copy for the person the permit is issued to and another -copy for the building permit files. The Treatment
Certificate shallprovide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall
be completed prior to final building approval.
St Lucie County 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.
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