HomeMy WebLinkAbout30-Day Temporary Power ReleaseRE
QUE,._
DATE:
7-1,9 - 6L�-
PERMIT NUMBER -
OR 30 DAY'TEMPORA.- POWER RELEASE;
PROPERTY AMRESS..
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ST. LUCIE COUNTY BLDG.. & ZONING
2300 VIRGINIA AVE
FORT PIERCE, FL. 34952-5652
61)462-2165
61)462-1148-
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 FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF
THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release in ' requested ' for the above stated purpose only,
and there will be no occupancy of any type, other than that permitted by
construction during this time period.
2. As witness by our signatures, 'we hereby ;agree to abide by all terms and
conditions Hof this agreement, including Building. Division Policy, which is
incorporated'her'ein 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
premises is ready for compliance inspectio*6.
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 DAMAGES WHICH,MAY BE INCURRED DUE TO
THE DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF
THIS AGREEMENT.
OWNER ,,, SIG A
GENERAL rnv-rib'A g-�rnic? J.