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HomeMy WebLinkAboutPower Release 02-04-'21 14:15 FROM- 7728787656 T-794 P0002/0011 F-280
�. Planning iJevdlopment Services
Building & Cude Regulation Division Eo
2300 Arg nia Ave_ R�`EIv
Fort`Pielrc% FL 34982 FED 0 5 101�
772-462-2165 Fax 772462-6443 pe�mltt�n9 et"
Request for 30-Day Tempoi ery Power
Date: rc�- \ \ Perrmt Number. — r��
Pro Address:
THE UNDERSIGNED HERE13Y 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 ACKNOWLEDGE AND AGREE AS FOLLOWS:
I. This tanp©rary pow release is requested for the above stated purpose only,and tere vdJ be no
occupancy of any type, other than that permitted.by wrisbuction during t1*time period.
2. As witness by our signatures,we herby agree to abide by all terms End 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 Testing"have been fulfilled and the premise is ready for cotnpliance inspection.
4. All requests for an eftrtsion beyond 30 days mast be made In wr dng to the Building Of kj,l 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 fee of$100.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS,ST..LUCIE COUNTY,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 ESCMCAL POWER IN THE'SVENT OF VTOLA71ON OF THIS AGREEMENT.
OWNER SIG DATE
Go C0NTlWT0R PE DATE
ELECTRICAL CONTRACTOR SIGNATU" DATE
RECEIVED
FEB 0 .5
Permitting Departme,
St. Lucie Count.;