HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462, 6443
I
Request for 30-Day Temporary Power Release
RECEI V Ep SE' 2 2
1015
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Date: �G,.� Permit Number:�r/
Project Address: 10701 S. Ocean Drive #701, Jensen Beach, FL
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 A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
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.
2. 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 writing to the Building Official stating
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.
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G - OLD-- l 6
OVAtRrATIR.E Z DATE
GENE CTOR SIGNATURE DATE
COM7 2, 1
SIGNATURE DATE
RECEIVED SEr22 ^^'�
�i_ Planning & Development Services
,{ 1,P:` , 214! `Q�`' Building &Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-21721 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SO TREATME I ot Ja-' 17 013
PERMIT #: I5 0 1 - 03'6%
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA(
PEST CONTROL LICENSE
SGAWWW
ON
StUdecrufffil
JOB ADDRESS:.1010' S .0c Pm, Q( aAT` �ch
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.
Square feet if area treated: 00
Percentage of solution: �dQ1% - --
Date of Treatment: 5'
Footing
1t Treatment
Re -Treat
Driveway
is' Treatment
teat
Other 0. ra (�(c.�( C.
Chemicals used: l5o�ir�4
Total gallons used: (-7O
Time of Treatment: / 0:?0
—D _Slab
1't Treatment
Re -Treat
Pools
1st Treatment
Re -Treat
Perimeter for Final Inspection
1 Treatment
Re -Treat
f signakure of Wkerminator
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 Treatmentforprevention of termites A weatherreslslantjobsite 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 bullding permit files The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site locatlon, area
treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil dremical barrier method for termite prevention is used, final exterior &eatment shall
be completed prior to final bullding 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.
- qq,9 7
r
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 #:_.j o-1 `("e6 30B ADDRESS: 10701 5,
BUILDER/CONTRACTOR:
PEST CONTROL CONTRA(
PEST CONTROL LICENSE
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.
Square feet if area treated: �a v
Percentage of solution:
Date of Treatment:
Footing
1s` Treatment
Re -Treat
Driveway
L-ist Treatment
Re- rest
)064ier "el� ir5
_Ist Treatment
Re -Treat
Chemicals used: (tom
Total gallons used: f,G
Time of Treatment:
Slab
1-st Treatment
Re -Treat
Pools
15t Treatment
Re -Treat
Perimeter for Final Inspection
1!�;7'—E a A
Sigktureof Exterminator
Note. There must be a completed form for eachrequired treatment or re -treatment and this form must be on the job
site to be picked up by the inspector at time of each inspectlon 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 resistantjobsite posting board
shall be provided to receive duplicate Treatment Certificates as each required protective treatmentis completed,
providing a copy for the person the permit is issued to and another copy for the building permit files The Treatment
Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area
treated, chemical used, peront concentration and number ofgallons used, to establish a verifiable record of
protective treatment. If the soil chemical barrier metfiod 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.
� �c'�
-�4ci -?
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Piercer, FI.34982
772-462-2172 Fax 772-462-6443
CERTIFICATE OF TERMITE TREATMENT
CONSTRUCTION SOIL TREATMENT
PERMIT #: 00 t" 03 JOB
BUILDER/CONTRACTOR:
PEST CONTROL. CONTRACTOR;
PEST CONTROL_ LICENSE #:
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 Assodation.
Square feet if area treated: Chemicals used:
Percentage of solution: a Total gallons used:
Date of Treatment: f 0` / [ % -
footing
1ft Treatment
Re Treat
kiveway
E 11t Treatment
Re -Treat
C?ther :5 t
1"Treatment
Re -Treat
Time of Treatment: 21
Slab
11 Treatment
Re -Treat
Pools
Treat
for Fr
Now There must be a completed form for each required t tment orre-lasatmentand this farm mustbe on the job
site to be picked up by the Inspector at time of each irspeaft or the scheduled inspection will fall and a•re-lnspea ion
fee charger!.
FBC104.2.6 Certificate of Protective Treaftnwtforpravention ofterrmtes A weathermsistantjobSite pasting board
shall be provided to receive duplicate Treatment Ceriftat es as ead9 required protective treatrmentrs completed,
providing a copy for the person the permit is issued taand another copy for the bulld'ng permit fries: The Treatment
Certifrcate shall provide the product*md, identity of the applicator, time and date of tfhe treatmant, site location, area
treated, 6emical used, percent concaentrationand number ofgallons used, to establish a verifiable record of
protecdve treabnent. If the sail cllemlcal baMormetftad for tarmite prowenbofi x used, final exterior bwtmentshalI
be completed prior to final building approval.
St Lucie County requites 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.