HomeMy WebLinkAboutPower Release i
Planning &`Development- rvi es
Building &Code:Regulati A Division
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COUN
TY 2300 Virginia Ave ;
• R I D A Fort.Pierce "FL_349,82
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Z72-452-,2165 FAX,7.72r"-Z.4443
Request for 30-_Day Temporary;Power;Release
2020 Permit Number: 1908-0422
Date:_ 4//1
Project Address: 48�1.4 Edwards "Rd, Fort Pierce, FI
THE UNDERSIGNEDyHEREBY REQUEST RELEASE OF-ELECT_ RICAL POWER TO THE A$OVE DESC]R BED-
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 re Uested for the above started purpose only,and there will be no
occupancy of any type, other than thatpermitted ny construction during this time and,
2 As;wrtn by our signatures,we hereby agree: abide,by all terms and conditions.of this agreement,
lnduding Building Division Policy,whkh,i0ncgrpor`ated.hereln,by reference.
3. All conditions and requirements listedIn the attached documententitied"Requirements,fox30 Day j
-Power`for Testing"have been fulfilled and the--premise is ready=for compliance.inspectiorr.,
4. All requests for'an extension,beyond 30:days,rrmust be made' writing to t#ie Building Offidai stating i
the.reason for the request. Power maybe removed from ft site;and/or a Stop Work Order"issuetl if
the.Final-Inspection has not been approved.within'.30 days: A fee of`$100.00 will be required to fift
the Stop Work Order.
WE,HEREBY'RELEASE AND AGREE TQ:.HOLD_HARMLESS, ST. LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIABILIlIESAND CLAIMS-OF ANY TYPE,OF NATURE-WHICH:MAY ARISE NOW, OR IN THE FUTURE OUT
Of THIS°TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE ?UE TO THE
DISCONNECfIDN'OF'-ELECTRICAL POWER IN THE EVENT°OF VIOLATION.OF'THIS,AGREEMENT
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GEN GNATURE, DATE
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. . -i3ItiTRACTOft SIGNATUREE A : _ E
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