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Planning".&..Dtiveloi)me..O-t��--services
Building & Code- Regulation Division 4/1
2300 Virginia. -Ave,
Fort- Pierce, FL .34982.
' 772462-2165 Fax -7-72 462-6443
.Request for 30-D.ay-Tqmporary Power Release
11 /16/2017
Date.: Permit Number, 1704-0266
ie34982Project-Address! 41915.Seagrape Drive, Ft Pi rce, FL 1
THE UNDERSIGNED HEREBY REQUEST RELEASE OF -ELECTRICAL POWER70 THE AE
PROP
ERTY,: FOR A PEkIOD.N0T_T0 EXCEEC(THIRTY,(30) DAYS, OR�THE PURPOSE
AND -EQUIPMENT IN PREPARATION FORA -FINAL INSPECTION. 'IN.CONSIDERAT[Ot
REQUEST WE"HEREBYACkNOWLEDGE AND AGREE ASfOLLOWS:
1. This;temporary porar, power release is requested.for the above slated purpose only, 6n(
occupancy of iny-typej other tha'n: that permiftedty'co v ristruction.d4',ring'this time
2. As W0* by - our -sipa-tdies, we hereby agree to abide by all ter insland conditicir,
irdudhg Suildin,_Divi i-on P Iicy, which
is incorporated herei b n : y r erence.
3. All cond
itions end- requirements -listed in the attached docyrrik entitled -Requirer
Power -for Testing' have -been fulfilled and the premise is ready-r,or compliance ins
4. All requests for an extension, beyond 30.days must be made in, writing to the Builc
the season for the -re -quest. Power may be removed:,from the site and/or a StopVI
the,Rnal"InsDection has -not been approved Within 30 d ci $100.00 pys, Afee' Will
the. Stop Work Order:
)VE DESCRIBED-
)FTESTINGSYSTEMS.
OFAPPROVAL*OF-THE'
will:be no -
of this agreement;
!nts for 30,Day
rig OM cipl-smil , no
ork Orderisgued if
be- required t6- lift
WE,,HEREBY,REL-,EASEAND-AGREE TO HOLD HARMLESS,--S-T. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIESAND CLAIMS OF ANY TYPE: OF -NATURE WHICH "MAY NOW Ok IN THE'FUT
OFTHISTRANSACTION,' INCLUDING ANY � DAMAGE WHICH.. MAY BE r INCURRED I DUE TO -THE
DI-$CQNNECTION-OFELECTRI,AL,POWER,,,IN.TH E-EVENTIOFVIOLAft6N, OF THIS AdREEMENT.