HomeMy WebLinkAbout30 dayPlanning & Development services
Building & Code Regulation Division
2300 Virginia Aire
19 7172
Fort Pierce,, FL 34gg27
12- 62-2165 Fax -462-64 43
Ke4uest for 30-Day Temporary Power Release
Date;
Permit Number: 2-r->c>
Project Address: 7 •.�, r%3
THE UNDERSIGNED HEREBY' REQUEST RELEASE OF ELECTRICAL P �.
PROPERTY, FOR A PERIOD OT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING AND EQUIPMENT IN PREPA TTON FOR A FINAL INSPECTION. POWER TO THE ABOVE DESCRIBED
EMS
REQUEST WE hlERtrBY ACK ON
AND AGREE AS FOLLOWSN CONSIDERATION OF APPROVAL THE
1. This temporary po er release is requested For the above stated purpose only,and there
As occupancy of any t Pe, other than that permitted by construction during this time periodwlli be no 2• Including 8ulfdfng yiwitness by our sJ�gnatures, we hereby agree to abide by all terms and conditlnhs of this agreement
Including Policy, which is incorporated herein by reference.
3. All conditions and r quirements listed In the attached document entitled "Requirements for 30 Day /
Power for Testing„ have been Fulfilled and the premise is ready Far 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 r quest, Power may be removed From the site and/or a Stop Work Order Issued if
the Final Inspection has not been approved within 30 days. A fee of $I00,00 will be required to lift
the Stop Work Order.
f
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR FROM
ALL. LIABILITIES AND CLAIM T
OF ANY TYPE OF NATURE WHICH MAY ARISE NOW oR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AG HE
AGREEMENT,
)WNER SIGN 9
DATE -W--
'EN AL CONTRACTC)R SIGMA RE
DATE
CiRICAL COM RACi OR SIGlVhTURE ..= _ , �,, 7—
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