HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE19 11:09 FROM-
7728787656 T-323 P0003/0010 F-500
PlariningA bei lopmi
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86i . I'ding &''Code-k 01
nOO V-14 nia Ave
F�rt' Pke'rci§, 'FIL 3449.2
772-462-21-65 ' Fax i
kequestfb/� 30-Day Temporary F
Date: Permit Mmber:
Pitect Address.
THE UNDERSIGNED HEREBY REQPEST RELEASE OF ELECMICAL POVVI
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR 7
AND EQUIPMENT IN PREPARATION FOP, A fINAL INSPECTION. IN COI
REQUEST WE HEREBY ACWO*Mt;E AND AGM AS FOLLOWS:
1. This temporary power1roease is requested for the above stated pL.
occupancy of any type rrn construction
2. As witnes5 by , , other than that pe. itted by
. our signatures, We heNby agr" to abide by all Wm
Induding BUlding-Division Policy, which is incorporated h6ein by r
3. All conditions and r�quirements listed ' in the attached document er
Power for TesHng" Pave been fulfilled and the prern. ise is ready fbr
A AJI requests foran "ritiQn beyond 30 days must be made in wzit
the reason fbr the,tequest Power may be remoVed-from the site a
the Final Inspection has not been approved within 30 days. A fee
the Stop Work Order.
WE HEREBY RELEASE AN6 AGREE TO HOL[) HARMLESS� ST. LUCIE COI
ALL LIABI=S AND CUk'IMS OF ANY TYPE OFNATURE WHICH MAY A
OF THIS TRANSACrIQN,,INCLUDING ANY DAMAGEWHIC11 MAY BE IN(
DLI;MNNEMON OF M�CMCAL POWER IN THE EVENT OF VIOLATIC
SIGNATM
A8
serv!cesMmNv39
RECEIVED
APR 0 4 2019
t-"2-6"3 Permitting Depart I ment
St. Lucie county
ter Release
k TO THE ABOVE DESCRIBED
E PURPOSE OFTESTING SYSTEMS
3
31DERATION OF APPROVAL OF THE
)m only, and the re vAJ be no
iring this time period.
and condi'dons of this agreement,
erence.
Ued "Requirements fbr 30 Day
Dinpliance inspecUon.
ig tD the WIdingoffidal stating
d/or a- Stop Work Order issued if
f $100.00 Mil be required to lift
TlY, AND THEIR EMPLOYEES FROM
ISE NOW OR IN THE FU7rURE OUT
IRRED DUE TO THE
OFTHIS AGREEMEliT.
\_L:A_ \�_
DATE
DAT�E�\�
DATE
-mite Inspection Christ is
Termite Pretreatment If Viet. --pug
-Pest Control - ffi Termite &
- Rodent Service Pest
- Fire Ant Lawn Service Control,
C.
- Whitefly Treatment
772-323-7921
Tell free: 1-877-315-9999
fir 772-340-5999
Email: Evict.abug@gmail.com
4293 SW High Meadows Ave.
Licensed & Insured Lic. JB175775 Palm City. FL 34990
Notice OT Preventative Treatment for Termites
- P.
(as required by Florida Builcling�cocle (FBCY\10 -, 4.2. 6 and Broward County Chapter FIBC 105.2.2)
PEST PREVENTION I FIREANTSERVICE I TIERMITESERVICE I RODENT EXCLUSION & REMOVAL I WHITEFLY TREATMENT
DATE OF SERVICE TIME 0
VE P ENT NAME (PROJECT)? e C-QNTRACTOR'S NAME C�TACTPERSON
& M %,� -P'- - I S 0 (f - 0? so K6�rle-,j L L/
STRUCTURE ADDRESS (LOT/BLOCK) CITY, STAT� 1. COUNTY
'P,�(, r .'tZt
h n CLAP (
I ZIP CODE
NOTES
LJ BORACARE L3 PREMISE OTALSTAR
TREATMENT TYPEIAREA
El FLOATING 145MONOLITHIC gOATIO LJ GARAGE d/DRIVEWAY Ll STEM WALLIFOOTERS L3 ADDITION
EICUTOUTS FL3FOOTER El FRONT ENTRY EIRETREAT 'El BORA CARE TREATMENT El PLUMBING CUT OUTS _0 SIDEWALKS
E3 TAMP & TREAT ' /TREAT ONLY C3 FINAL 0 POOL DECK L30THER
PRODUCTS 11
L] BASELINE AOMINION 2LACTIVE INGREDIENT EI TERMIDOR SC
r1 OTWr:D I
ACTIVE INGREDIENT &M`I&C�LAPRID 0 BIFENTHRIN - El DISODIUM OCTABORATE TETRAHYDRAT�,.'
CONCENTRATION
E1.06% U.1%
SQUARE FOOTAGE
le') I—C k �-'
?C/ 9.5- c_
0.12% L1.25% AO'05% Ll 23% 09% 0 OTHER GALLONSAPPLIED
15-0 LINEAR FOOTAGE'
SQUARE FOOTAGE VERIFIED
XYES El NO XMEAS [RED OR VERIFIED PER PLANS
JOB READY CONDITIONS MET
JIYES 0 NO DETAILS
As per 104.2.6 FBC - If soil chemical barrier metl�od for termite prevention is used. Final exterior treatment shall be completed prior to final building approval.
Certificate of Compliance: The building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with rules
and laws established by the Florida Department I of Agriculture and Consumer Service s. (Per the Florida Building Code.)
If this notice is for the final exterior treatment, initial and date this line
FINAL STICKER
El ELECTRICAL PANEL 11 WATER HEATER' 0 OTHER
Payment Terms: Payment due at time of service.
5
Date
Date
A p Wit :,'Evict A Bu*g/ermite and P,,t Control, Inc.)
Customer (PropertybwnerorAgent) Ontill will
www.evictabugpest�ontrol.com