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HomeMy WebLinkAbout30 day releaseSy } planning & [development Services : g Building & Code Regulation Division taus o y kfk ' 3� , 2300 Virginia Ave E� ��i Fort Pierce, FL 34982 772-462-2165 Fax 772.462-6443 Request for 30-day Temporary Power Release Date: 2 � zo /t-- Permit Number: ado Z _ C7cn .sa/ Project Address: ZZ 7 THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS FOR THE PURPOSE OF AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. !IN CONSIDERATION OF APPPRRO ALYSTEMS OF THE REQUEST WE HEREBY ACKi OWLEDGE AND AGREE AS FOLLOWS: 1. This temporary power release is requested for the above stated u ose on, there occupancy of any [� e, other than that permitted by construction doing this time period.will be no 2. As witness by our 519natures, we hereby agree to abide by all terms and Conditions of this agreement, Including Building l'lvision Policy, which Is incorporated herein by reference. 3. All conditions and requirements 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 xtension 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 noC been approved within 30 days. A fee of $lOfl.flfl will be required to lift the Stop Work order. WE HEREBY RELEASE AND A�-REE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE To THE EMPLOYEES FROM DISCONNECTION OF ELECTR,tC.AL POWER IN THE EVEN" OF wni A- rnnp _-- OUT SS- 0 �y b� it s Request for 30-Day TLmpor, a ®vyer Regease Date: �� -.-� ��'Z .r�� Permit Number: ©Z - a 6 e) Project Address: S Z / B THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEM AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION, IN CONSIDERATION OF APPROVAL REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: SYSTEMS T# l I. This temporary power release is requested For the above stated purpose only, and there will be en occupancy of any type, other than that permitted by construction during this time period. Z• As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement, including Building Division Policy, which is incorporated herein by reference. .3. All conditions and requirements listed in the attached document entitled "Requirements For 30 Day Power For `resting" have been fulfilled and the premise is ready for compliance inspection. 4. All requests for an extension 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 Inspection has not been approved within 30 days. A the Stop Work Order, fee of100.00 will be required to lift WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACT ION, INCLUDING ANY DAMAGE WHICH MAYBE INCURRED AND THEIR EMPLOYEES FROM OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. �fr DA � SIGNATURE CONTRACTOR SIGNATURE aen, 2--C, Z42) zo e Z-0 T Planning Development Services Building Cdde Re9tilation Division 2300 Vir ginja;Av Foltt fierce, FL 34982 772462-2165 --462-6443 est for 30-Day Tempura rv.pow,er RelIease Date: /O � � ©�C-;1 Permit Number;,,% S ty Proe 1 7-� j ct Address: THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED AND EQUY, FOR A PERIOD OT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPA -ION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACK OWLEDGE AND AGREE AS FOLLOW,: 1. This temporary poorer release is requested for the above stated purpose only, and there will be no Occupancy of any t Pe, other than that permitted by construction during this time period. Z• As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement, Including Building Nislon Policy, which Is incorporated herein by reference. �. All conditions and r quirements listed In the attached document entitled "Requirements for 30 Day Power for Testing" have been Fulfllled and the premise is ready For compliance inspection. 4. All requests for an Oxtension beyond 30 days must be made fn writing to the Building 4fficla! stating the reason for the r�quest, Power may be removed from the site and/or a Stop Work Order issued fF ection has not been approved within 30 days. A Fee of $l0t},pp will be required to lift the Final Insp the Stop Work Order. WE HEREBY RELEASE AND Af;REE TO HOLD HARMLESS, SF. LUCIE COLINTy, AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS 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 THE DISCONNECTION OF ELECI"RkCAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT 1 4OWNERz�ry DATE J � 2-7 DATE 0 zd Z)?-0 Project Address: -42,- LQ w Planning & Development Services (Building & Code Regulation Division 2300 Virginia Ave Fart Pierce, FL 34982 772-462-2165 Fax 772-462-6443 for 30-Day Temporary Power Release Permit Number: Z' Oci z - .0n S 3 THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED 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 ACKI)lOWLEDGE AND AGREE AS FOLLOWS: I. This temporary po occupancy of any 2. As witness by our Including Building 1 3, All conditions and i Power for Testing" 4. All requests for an the reason for the the Final Inspectior the Stop Work ordc WE HEREBY RELEASE AND ALL LIABILMES AND CLAI OF THIS TRANSACTION, IP DISCONNECTION OF ELEC SIGNA' mr release is requested for the above stated purpose only, and there will be no 'pe, other than that permitted by construction during this time period, gnatures, we hereby agree to abide by all terms and conditions of this agreement, ivlslon Policy, which is incorporated here€n by reference, :quirements listed in the attached document entitled "Requirements for 30 pay lave been fulfilled and the premise is ready for compliance inspection, xtenslon beyond 30 days must be made in writing to the Building official stating 'quest. Power may be removed From the site and/or a Stop Work Order Issued If has not been approved within 30 days. A fee of $100.00 will be required to lift REE TO HOLD HARMLESS, ST. L,UCIE COUNTY, AND THEIR EMPLOYEES FROM OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FU-rURE OUT 1DING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE :AL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. CoM RACTOR SIGN TURF % r 0 �?- d Date: l'D ProJcct Address: for -30W®ay 'temporary power Release z 7/12! e--, e-z_, PermiC Number: 2-c� c) 2 THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DES PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (3u) DAYS, FOR THE PURPOSE OF TESTING AND EQUIPMENT IN PREPA �RAATION FOR A FINAL INSPECTION. IN CONSIDERATION OF AP DESCRIBED REQUEST WE HEREBY ACKJOWLEDGE AND AGREE AS FOLLOWS: NG SYSTEMS E APPROVAL of THE x. This temporary pfl occupancy of any 2. As witness by our including Building 3. All conditions and i Power for Testing" 4. All requests for an the reason For the i the Final' Inspectior the Stop Work Orde WE HEREBY RELEASE AND A ALL LIABILMES AND CLAIM; OF THIS TRANSACfION, INC DISCONNECTION OF ELFr7p CONTRACTOR Jer release is requested For the above Stated purpose only, and there will be no ape, other than that permitted by construction during this time: period. bnatures, we hereby agree to abide by all terms and conditions of this agreement, !vision Policy, which is incorporated herein by reference. :quirements listed in the attached document entitled "Requirements for 30 Day lave been Fulfilled and the premise Is ready fQr compliance inspection, xtension beyond 30 days must be made in writing to the Building Official stating !quest, Power may be removed from the site and/or a Stop Work Order issued if has not been approved within 30 days. A Fee of $100,00 will be required to lift REE TO HOLD HARMLESS, Sl". LUCIE COUNTY, AND THEIR EMPLOYEES FROM OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT JDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE :AL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT-. l� 2- i2-// 1z e-:i �?, e,-!� Z-C)z Z) Planning & Development Services Building & Code regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772,462-2165 Fax 772-462-6443 Request for 30-Day Temporary Poorer release Data: la -2- 7 i Permit Number: 2-5�>c) 2— -- c--)o 575.----- PreJect Address:- ------------ THE UNDERSIGNED HEREBY Rt=QuFS- RELEASE OF FL PROPERTY, FOR A PERIOD NOT To EXCEED THIRTY (0 DA 5 LFOOR THE URPOWER To POSE of T �� RIeED AND EQUIPMENT IN PREPA�tATION FOR A FINAL INSPECTION. I REQUEST WE HEREBY ACECII�EM OWLEDGE AND AGREE AS FOLLOWSN CONSIDERATION OF APPROVAL THE 1. This temporary pc occupancy of any 2. As witness by our Including Building. 3• All canditions and , Power For Testing" 4, All requests for an the reason for the i the Final rnspectior the Stop Work Ord( WE HEREBY RELEASE AND A ALL LIABILITIES AND CLAIM; OF THIS TRANSACTION, INC DISCONNECTION OF ELl M SIGMA �Ver release is requested For the above stated purpose only, and there will be no Pe, other than that permitted by construction during this time period, gnatures, we hereby agree to abide by all terms and conditions of this agreement, Hvislon Policy, which is Incorporated herein by reference. =quirements listed In the attached document entitled "Requirements for 00 Day lave been Fulfilled and the premise is ready For compliance xtension beyond 30 days must be made In writing to the Building official stating quest, Power may be remOVed from the site and/or a Stop Work Order Issued If has not been approved within 90 days. A fee of $100.00 will be required to lift REE TO HOLD HARMLESS, &L LUCIE COUNTY, AND THEIR EMPLOYEES FROM OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT JDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE =AL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT, CgNTRAC7OR SIGN 7URE f?ATE