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30 day power release
Planning Development Services . � 8uilftg Code Regulation Division Recerveo i_... 2300 Vi.irg nia-Ave. A For-Pierce, FL 34982 ;MAR g 1021 772-462-2165 Fax 772-462-6443 per8t.Lucie Countyent Reques$ for 30-Day Temporary Power Release Date: 3 Z5 ( Z( Permit Number: -zPlI — ©zo Project Address: �1�1I",) "u_ 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 ACKNOWLEDGE AND AGREE AS FOLLOWS: 1. This temporary power release is 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. Z. As witness by our signatures,.we hereby agree to abide by all.;terms and conditions of:this;agreement, including"Bdilding Division Policy, which is incorporated herein by reference. j 3. All,conditions.and-requirements listed in the attached document entitled"Requirements fori30 Day Power for Testing"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 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 TRANSA ON, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE` DISCONNECTI F ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. 3h Z� _ 0- -R-S U DATE 3; Z� z.l GENERAL CONfRCTOR SIGN RE DATE ELECTRICAL CONTRACTOR SI E DATE i i