HomeMy WebLinkAbout20 day power release I
From:Jay Medina Fax:(772)361-6580 To:St Lucie County Inspect Fax: (772)462-1578 page 2 of 21'11/06/2017 9."AM
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ECEIVED
0 fl ff g :Cade Regulation i Qslon 2 NOV 0 0 Virginia Ave 6 2017
Fa . Plerce, FL 34982 Peilrmitting Department
772-462-21 5 Fax 772®4 2' 648
Lucie County, FL
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j P Request ®r' 0-Day Temporary Power �.ele Se
Date: I �f Permit Number: '4 7 —04 2
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Proje'.Address: 2_78 Bermuda Beach Dr, Fort Pierce FL
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THE UNDERSIGNED HEREBY-REQUEST RELEASE OF ELECTRICAL POWER TO THE AoijvE
PROPPRTY, FOR A PERIOD NOT TO EXCEED THIRTY(30) DAYS,.FOR THE PURPOSEIOF TICS- NG SYSTEMS
AND EQUIPMENT IN.PREPARATION FORA 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.
2.. As witness by our signatures,we hereby agree to abide.by all terms and conditins of this agreement,
including Building Division Policy,which is incorporated herein by reference.
3. All:conditions and.requirements listed in the attached document entitled"Requirements for 30 Day
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Power for Testing'"have been.fulfilied and the premise is'ready for'compliance inspection.
4. All requests.for an extension.beyond 30 days must be made'in writing to the guildirig Official stating
the reason for the request. Powermay be.removed from the site and/or a Stop jWork'Order issued if
the Final Inspection bas not been approved within 30 days. A fee of$100.00 will be required to lift
the Stop Work Order. II
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WE.H fREBY RELEASE AND:AGREE TO HOLD HARMLESS,ST.. L.UCIE COUNTY, AND►HEIR:EMRLOYEES FROM
ALL LIABILITIES AND CLAIMS OF-ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION,INCLUDING ANY-DAMAGE WHICH MAY BE INCURRED'DUE To THE.
DISC6NNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS XGREEMENT.
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OWN 8 GNATURE DATE
GENE L'.C3NTR IONATURE DATE.
LECTRICAL CONTRACTOR 5IG AZURE A
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