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Home My WebLink AboutUTILITIESa q\hb0�12 Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2165 Fax 772-462-6443 Request for 30-Day Temporary Power Release Date: 101041,o Permit Number: 61z / ® 6 — e,r Project Address: % i �0 OS l�% L -IJ A Air-Y 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 pedod. 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 SACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNE ON OF,E-EEItT UCAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. /0/2F 10-28-19 SCANNED BY St. Lucie County JOSEPH E. SMITH, CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY FILE # 3530154 OR BOOK 3242 PAGE 2501, Recorded 11/05/2010 at 10:05 AM Utility File #11.242.00 Prepared by and retum to: Port St Lude Utility Systems Dept goo SE Ogden lane Port St Lute, n. 349M Termination of Utility Service Agreement Project Johnny's Corner Restaurant Service 7180 South US Highway #1 Name: Address: Port St. Lucie, FL 34952 Applicant f�dobe Corporation /�\ andr ss: Name I// 8 Link Wa f// 1Name Acl and P rt St. Lu FL 34 B6 and Port Address: Exhibit B\Credit Sum Agreement Whereas, that certain Customer Service Agreement executed on December 16, 1998; and that certain Commercial Service Agreement / Permit to Connect was executed on August 23, 2001 and recorded in OR Book 1449, at Page 757 of the Official Records of St. Lucie County and; termination of water and NoLthe re,t is do ment, is incl de Exhibits A a d its i tended to termin ove refe en ed Agreem nt an a er nd / was ewater plant capacit there un er is no Ion r esery d. execution of hi document, all terms s o th p ly efer ed ments sha inated and capacitreserved edit for wastewate remain as shown in Exhibit "B" and said agreement cancelled. Credited monies shall be used against future purchases of water and wastewater capacity upon receipt of an original signed letter of authorization from the owner. Water Wastewater ERCs Previously Reserved 18.3 14.4 ERCs Connected 0.0 0.0 ERC Reservation Changes this Amendment -18.3 -14.4 Total Ms Rese a -in 0.0 -D ,())Ige 2 OR BOOK 3242 PAGE 2502 Utility File #11.242.00 I have read and agree to be bound by the conditions of this Termination of Utility Service Agreement. T. 2)4✓i 5 �J STATE O A COUNTY 0 The foregoing instrument was acknowledged before me this 4L day of 2010, by CAaAe- �Lr1 VIP of o opp Said person Gr Is personally known to me, or ❑ produced other identification, to wit: Slgna ure Print Name Nata" Public STATE OF FLORIDA COUNTY OF St LUCIE The foregoing instrument was acknowledged before me this 49 day of ate. 2010, by Jesus A. Merejo, on behalf of the Cityof Port St. Lucie's Utility Systems Department, who Is personally known !%me. 1 4 // ^ 2 of Utility File # 11.242.00 Exhibit B Credit Summary Project Name: Johny's Comer Restaurant Unit Price Quantity Definer Amoun Credits to Property: Water 1 Water Plant Capacity Reserved: $770.00 x 18.3 ERCs $14,091.00 Subtotal $14,091.00 Sewer 1 Wastewater Plant Capacity Reserved: $967.00 x 14.4 ERGS $13,924.80 Subtotal $13,924.80 Total $28,015.80 Fees Owed to City: 1 Past Due Base Facility Charges: $5,558.55 x 1 LS -$5,558.55 2 Agreement Canceladon/Amendment Fee: $300.00 x 1 Ea -$300.00 3 Agreement Recording Fees: $10.00 last page+$s.so for a0 ones x 4 Pages -$35.50 Total -$5,894.05 Credit $28,015.80 Fees Owed -$5,894.05 Credit Subtotal $22,121.75 Credit Summary: WATER: Water Plant Capacity Credit $14,091.00 Past Due Base Facility Charges: -$1,945.50 Agreement Canceladon/Amendment Fee (1/2 of fee to water and 1/2 of fee to wastewater) -$150.00 Agreement Recording Fees: (1/2 of fee to water and 1/2 of fee to wastewater) -$17.75 Remaining credit against future water capacity $11,977.75 WASTEWATER: Wastewater Plant Capacity Credit $13,924.80 Past Due Base Facility Charges: -$3,613.05 Agreement Cancelation/Amendment Fee (1/2 of fee to water and 1/2 of fee to wastewater) -$I50.00 Agreement Recording Fees: (1/2 of fee to water and 112 of fee to wastewater) -$17.75 Remaining credit against future wastewaterwater capacity $10,144.00 Remaining credit against future water capacity plus remaining credit against future wastewater capacity $22,121.75 For Office Use Only: Wastewater Treatment Plant _ Southport _ Westport _ Glades ,Receipt#: Date Paid: Received by: Meter Size At ERCS Address Services Location Page 1 of 1 z ig04 -uy-ja Port St Lucie Utility Systems Department Connection Fee Worksheet SCANNED ' 900 SE Ogdm lane B Port St. Lude, FL 34983 utaengecltyofpsl.com Sl l uC1e Chu a�o`r°N my Project Name: Dollar General Utility File No.: 11-242-00 Plaza Name: N/A Owner'S Contact Person: Havmes S. Sne.7eker Property Owner: HSC Port St. Lucie. LLC Contact Phone No.: 251-243-0708 Mailing Address: 805 Trione Avenue Contact E-Mail Address: Lindafshixsndekencom Daphne, Alabama 36526 Potede Water ERCs / Line Charges Reserved: 7.8 Action(s) Requested: New Capacity/Line Chames/Consbuttion Wastewater ERCs / Une Charges Reserved: 0.0 item Description N. Unit Price Quantity Q h Definer /lmourrt 1 Water Want Capacity Reserved: $1,401.00 x 7.8 ERGS $20,927.90 2 Water Want Capacity Reserved - Credit on File $1,401.00 x 7.8 ERGS-$10,927.80 3 Water Une Charge: $72.2.00 x 7.8 FRCS $5,631.6D 4 Baddlow Certification: $50.00 x 1.0 Each $50.00 5 Baddlow Prevention Assembly InsWlation Fee - 1' meter: $462.OD x 1.0 Each $462.00 6 Water Meter Installation Fee -V meter.. $585.00 x 1.0 Each $685.00 7 Wan Review and Inspections (Base Fee) $743.00 x 1.0 Base Fee $743.00 8 Plan Review and Inspections (per ERC) $69.00 x 7.8 ERCs $538.20 9 Agreement Recording Fees: $12 first page, $8.50 thereafter x 15.0 Pages $131.00 10 Application Fee: $268.00 x 1.0 Each $268.00 11 Water Deposit- 1-Meter Site $95.00 x 1.0 Each $95.00 Total 98,603.80 Fees are effective until September 30, 2019 *Termination of Utility Service Agreement executed 10-25-2D10 and recorded on November 5, 2010 at OR Book 3242, Page 2501 resulted in an constituting edit of for future water and wastewater capatlry. ARtt this agreement, there wilt be a remaining water rapacity credit balance of $1,049.95 along with a on4anding wastewater rapabry, met of $10,144.00 For Office Use ONy: Receipt#: � Date Paid: TI / /l. I / N 1 Amoum Paid:$ WWTF: N A Received By: 25% Surcharge Out of City Limits V Billing Information: Name HSC Port 56 Luci LLC Recording WOrmation: Address: 805 Trione Avenue Book Da 6 e ql b 36526 Page Phone: 251-243-0708 00118 PSLUSD Doc. No. 150 HSC Port St. Lucie, •LLC Vendor. Port St Lucie Utilitv 17 Check Date: .hilv 16_-201A INVOICE DATE 7-10-19 _INVOICENO,'. 10570 DESCRIPTION Port St. Lucie INV.AMOUNT, .. 8603.80 DISCNIE TTAN _BALANCES _,_ 8603.80 Ghfc Gate 7-15-19 ' hk. No: 17 Totals 8603.80 8603.80 ! HSC Port St. Lucie, LLC 82nco„south 17 ' PO Box 130, Daphne, AL 35626 et397B20 Date July 15, 2019 PAY . I 80 Amount $8,603.80' PAY: """"""""""'Eight thousand six hundred three dollars and 80 cents i I TO.THE. Port St Lucie Utility ORDER Systems Department OF 900 SE Ogden. Lane i Port St. Lucie, FL 34983 i c N_ i 000001710 406200397?1: 757290L211' j Invoice o,,,., Port St Lucie Utility Systems Department Date: 900 SE Ogden Lane Invoice No.: Port St Lucie, FL 34983 Due Date: a,„o� Project No.: Dollar General HSC Port St. Lucie, LLC 805 Trione Avenue Daphne, Alabama 36526 07/10/2019 10570 O8/09/2019 11-242-00 Quantity Description Unit Price Total 1 Lump Sum Amount (see attached worksheet) $8,603.80 $8,603.80 Total $8,603.80 Paid $8,603.80 Detail by Entity Name Page 2 of 2 Detail by Entity Name Foreign Limited Liability Company HSC PORT ST LUCIE, LLC Filing Information Document Number M19000004524 FEIIEIN Number 83-2438636 Date Filed 05/02/2019 State AL Status ACTIVE Principal Address 805 TRIONE AVE DAPHNE, AL 36526 Mailing Address PO BOX 130 DAPHNE, AL 36526 Registered Agent Name & Address C T CORPORATION SYSTEM 1200 SOUTH PINE ISLAND ROAD PLANTATION, FL 33324 Authorized Person(s) Detail Name & Address Title MBR 805 TRIONE AVE DAPHNE, AL 36526 Title MBR HIX, H. RAY, JR 805 TRIONE AVE DAPHNE, AL 36526 Annual Reports No Annual Reports Filed Document Images 0510212019— Fore on Limitedl view image in PDF formal http://search.sunbiz.org/lnquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 7/2/2019