HomeMy WebLinkAboutbuilding permitCOUNTY
F L O ii I D A
Planning & Development Services
Building ode Regulation Division
2300 Virgiha Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462.6443
Request for 30-Day Temporary Power Release
D2te' Permit Number: _ 10a --0
_.. 1bS A#%
Project Address: C-0
1_
`4E UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER THE ABOVE
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TEUSTI% SYSTEMS
ANO EQJIaM-%,r IN PREPARATION FOR A FINAL INSPEMON. IN CONSIDERATION OF A►"RCjy:,L OF THE
FEQLIEST WE HE+;=SY ACKNOWLEDGE AND AGREE AS FOLLOWS:
ors ter"Po'a1' Power release is requested for the above stated or'upanc o' And type, Other than that permrted by constructio dupring thiose s time pe ,op ►n_i no
A< witness by our signatures, we hereby agree to abide by all term; and conditio" pf th,;
4"c'u0tn9 Solding Division Policy, which is incorporated herein by referenceageepwrit
'
' Al' co*Ud or s and rcgwrements listed in the attached docuinernt entitled "Re iliie
Po-e" `or estinq" have been fulfilled and the premise is ready for complianceins ction
� f �1 Day
4 Ali -eQuest: for an extension beYond 30 days must be made in vRiting to the Ofrioat sUi r•g
Building Of
tt* rt6s0n for the reouest. Power may be removed from the site and/or a Stop Work Orde ,sw e ir
tte Final Inspectio,i has not been approved within 30 days. A fee of $100 00 will be requires. R, ^f!
he Stop lkark Order.
VVE 4EK10v RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPiOYEES FROP4
OF THIS
A:.L UAA-;CITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE `jTLWc OUT
" ;ANSACnON� INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
OISCO%N+_C]ON, OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREENENr
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