HomeMy WebLinkAbout2021-11-23 09-32_page_1.pdfPlanning & Development Services
Building & IICode Regulation Division
2300 Virgiar�ia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date: 1_ _d� I _ Permit Number;
' 7
Project Address:c
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-)-r,E 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
FEQUES' WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
! +his temporary power release is requested for the above stated purpose one y, and there viiil be M
occupancy of any type, other than that perr-nitted by constructio�� during this time pc'*iod-
As witness by our signatures, we hereby anree to abide by all terms and conditions of this ay^reemera,
including building Division Policy, which is incorporated herein by reference.
3. Ali conditions and requirements listed in the attached document entitled "Req;irrernews For 30 DaY
Power for Testing" have been fulfilled and the piermse is ready for compliance inspection.
r. Ali requests for an eytension beyond 30 days must be made in lbriting to the Building Off-idal staff
the reason for the request. Power may be removed from the site andior a Stop 'Work Or&r ts" = { it
the rural Inspection has not been approved within 30 days. A fee of 3100 W will be required tc Eft
ffie Stop Wark Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THRTR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE ()UT
OF THIS TRANSACTICN, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
(DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT
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