HomeMy WebLinkAbout30 day power releasePlanning & Development Services
Building & ICode Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Permit Number;
Pr0iect Address: -536q
v'VED HERE8Y REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEM5
^ E`JIoMC-N+ IN PREP,ARgTION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQL;E`- WE HERESY ACKNOWLEDGE AND AGREE AS FOLLOWS:
-tiffs tempera:-�, power release is requested for the above stated purpose oniy, and there vii;l be no
occupancy of any type, other than that permitted by construction during this time period,
Q,S vwitness by our signatures, we hereby agree to abide by all terms and conditions of this agreement,
".C!uc:rlg Building Division Policy, which is incorporated herein by reference.
C cordlt,ors and Iequlrenlents listed in the attached docurnent entitled "Requirement; for 3%j :day
Powe- `or Testing" have been fulfilled and the premise is ready for compliance inspection.
lid -equest< for an extension beyond 30 days must be made in vRiting to the 8u�id,
ttF rEason r.� the request. Power may be removed from the site and;,or a st ng Orfiaal sta: ny
t`,e Frr„l Irspection has not been approved within 30 days. A fee of $ t00 aw ill/ rCrdar �s�uK' it
^e Stop vti' irk Oroer. eqoursC to t,rt
Vy- ~iERE3y PELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, ANO THEIR EMP -
A_� LiAEI�1TIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY' ARISE NOW OR IN THE FQTEt t ti,��..t
U= ' -IIS TP�,'�ScC"r1ON, INCLUDING, ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
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DISC NNFCT1p% OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGQEENIENT
GElti! IC(--) j{+. SIGf�ATUR.E
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