HomeMy WebLinkAboutRequest for 30 Day Temporary Power Releasev ATr -`TIC TRUSS COMPANY 954� '3237 P.1
FROM :THE UPS STORE 3214 � 772 S62 2623 2004.15 .,� 12:S6 e808 P.01/02
REQUEST FOR 30 DAY TEMPORARY POWER RELEASE
PERMIT NUMBER:
PROPERTY ADDRESS:
ST. LUCIE COUNTY BLDG. &
2300 VIRGE
FORT PIERCE, FL 34
h. (561)
(561)
NOV j,&l 200/JJ
� 114(e.St. Lucie Covn— p �J � �ii ki kt 5 ty uSlic Works
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELEC CAL POWER TO
THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30)
I` DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN
PREPARATION FOR FINAL INSPECTION. IN J T THE QUEST WE HEREBYACKNOWLEDGEANDAGREE ION OF APPROVAL OF
AS FOLLOWS
1. This temporary power release in requested for the above stated purpose only;
mad there will be no oceuponry of Roy type, other than that permitted by
construction during this time period.
2. As witness by our signatures, we hereby agree to abi&-by all terms and
conditions of this agreement, including Building Division Policy, which is
incorporated herein by reference
3. All conditions mad requirements listed in the attached doeumeat entitled
•Requirements for 30 Day Power for Testing' have been fulfilled and the
premises is ready for compUance inspection.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY,
AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIM OF ANY TYPE OF
NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF -THIS
TRANSACTION, INCLUDING ANY DAMAGES WHICH MAY BE INCURRED DUE TO
TMDUCONNECIION OF ELECTRICAL POWERIN THE EVENT OF VIOLATION OF
THIS AGREEMENT. j
OWNER NATURE 'i
`� A -- \ c•r" i / ., ._ �.._ �� _iv, i. �1e�,. &O (4. Iv