HomeMy WebLinkAboutRequest for 30-Day Temporary Power Release12/
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St. Lucie County
Building & Zoning Department RECEIVED
2300 Virginia Avenue
Fort Pierce, FL34982. JAN 11 2007
772-462-2165
Fox 772-462.6443 BY:
/ Request for 30-Day Temporary Power Release
n / /06/07 / ,
— Permit Number: x��u ) —0 .Y _ 6—
arty Address: - 1.44�"�?
UNDERSIGNED'HEREBY REQUEd RELEASE OF ELECTRICAL POWER TO THE
VE DESCRIBED PROPERTY, FOR A -PERIOD NOT TO EXCEEb THIRTY (30) DAYS, FOR
PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
ECTION- IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
NOWLEDGE AND AGREE AS FOLLOWS:
I. This temporary power reuse is requested for the above.- abM purpose only,
and thew will he no occupancy of any type, other then that perndtted by construedon
during this time period.
2. As witness by our signatures, we hereby agree to ablds by an terms and cosdinene
of this agreement, including Building Division Policy, which is Incorporated herein by reference
3. An conditions and requirements listed to the attached document entitled
4 "Requirements for 30 Day Power for Testing" have been fulfilled and the premise is wady for compliance inspection.requests for an extension beyond 30 days meet be made in writing to the Building Official staling the reason
for the request, Power may be removed from the site asdlor a Stop WOM Order issued if the Fhtah Inspection
has not been approved withht 30 days. A fee of 21o0.00 will be required to nft the Stop Welk Order.
HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND
3R EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE
ICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING
t DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF
:CTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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