Loading...
HomeMy WebLinkAbout30 daysPlanning & Development Services Building & mode Regulation Division 2300 Virginia Ave Fort !Pierce,, FL 34982 772-462-2165 Fax 772-462-6443 s�equest for 3d-I)ay Temporary Power release Date. �� •� � o z- o `-- Permit Number: Prn)ect Address: i Z-6-------- THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE A13 PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TE NGSY EMS AND EQUIPMENT IN PREPAf�ATTON FOR A FINAL INSPECTION. ABOVE DESCRIST BED REQUEST WE HEREBY ACK OWLEDGE AND AGREE AS FOLLOWS CONSIDERATION OF AP ROVA O THE " This temporary po er release is requested for the above stated Purpose only, and there will be no occupancy of any Pe, other than that permitted by construction during this time period. 2. As witness by our gnatures, we hereby agree to abide by all terms and conditions of this agreement Including Building glvlSlon Policy, which Is incorporated herein by reference. 3. Alf conditions and r quirements listed In the attached document entitled "Requirements for 30 Day, Power for Testing" have been fuif Iled and the Premise is ready Far compliance inspection. 4. All requests for an 4xtenrequest, beyond 30 days must be made In writing to the Building Official stating the reason for the r quest, power may the Final Inspection) has not been approvedrWthfne3D da he site and/or a Stop Work Order IssuedglP the Stop Work Order, y A fee of $I00.00 will be required to lift f WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THE ALL, LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN OF THIS TRANSACTION, INCWDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO T EMPLOYEES FROM DISCONNECI'IDN OF !~LECTR�CAL P©WER IN THE EVENT' OF VIOLATION OF THIS ACRE THE FUTURE OUT THE ,�•�''' AGREEMENT, ZZIZ�> Q �? -0 )NTUC 011 SIGNA RE CONTRACTOR SIGN�TURE DATE