HomeMy WebLinkAbout30 dayPlanning � �eve�o �pnllent Services
Building & Code Regulation Division
z 2300 Vir inlAve
a
pie
rrcer FL 3�49Bx
772
µ� 462-2165 Fax,772'-.62- 6443
Re uest'for 30-Day''4�rnporrary le er" Wealse
Date:
Permft fttnber _moo z�
Project Addres
THE UNDERSIGNED HEREO REQUEST RELEASE OF ELECTRICAL^ PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE: PURPOSE: OF TESTING
AND EQUIPMENT IN PREPA�TIOEy FOR A FINAL. INS POWER TO THE ABOVE DESCRIBED
WE HEREBY ACK OWLEDGE AND AGREE AS FD OWSN CONSIDERATION OF APPROVAL OF THE
I. 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 lvislon Policy, which Is incorporated herein by reference.
.3• All conditions and r qulrements 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 �xtenslon 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 InsPectianlhas not been a
the Stop Work Order. approved wlkhIn 30 days. A rc-e of $100.00 will be required to Eift
E
WE HEREBY RELEASE AND A�REE TO HOLE) HARMLESS, ST, LUCIE COUNTY AND
ALL LIABILITIES AND CLAIMS OF ANY TYPE
DISCONNECTION OF EOF NATURE WHICH MAY ARISE'
OF THIS TRANSACTDAMAGE WHICH ANY DAMAGE MAY BE INCURRED DUETHEIR EMPLOYEES FROM
l-ECTR�CAL POWER IN THE EVEr Oc' VTI®IOLA NOW OTo THE
R IN THE FUTURE OUT
EV OF TE-rI5 AGREEMENT.
c ti ]" 4 KAL, FOR SIGNA
:AL CONTRAC 08 SIGI
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