HomeMy WebLinkAbout30 day power release Planning;&'Development�Sexvices
B;u%i<tl.il� g•:&:Code.:Regulalrion Division RECENED
�_ i i_•. 23;OR.-I rgi l?,-Ave
F:or `.F� erce, FL:34982 APR 03 7010
77'rZ=46.2-.2 :6$ Fax 772-462-6449 Permitting Department
St. Lucie County
Request for•3.0-Day Temporary Power Release
Date: �3 f I S Permit Number: 17 N I—®—ps
Project Address: S� t't� rl�'�2l �t - -1t
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE•DESCRIBEDi
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY(30) DAYS, FOR THE,PURPOSE OF!TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. INCONSIDERATION 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 penod.
2. As witness by our signatures,we hereby agree to abide by all terms and conditions of this agreement,
including Building Division Policy,which is incorporated herein by reference. i
3. All conditions and requirements listed in the attached document entitled"Requirements for 30 Day
Power for Testing"have been fulfilled and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be made In writing to the Building Official stating,
or a Stop Work Order Issued if
be removed from the site and
the reason for the request. Power may !
the Final Inspection has not been approved within 30 days. A fee of$100.00 will be,required to 11f.
the Stop Work Order.
.I
WE HEREBY RELEASE AND AGREE TO-HOLD HARMLESS,ST. LUCIE.COUNTY,AND THEIR EMPLOYEES FROM
ALL LIABILTTIES AND CLAIMS-OF ANY'-TYPE-:OF NATURE WHICH•MAY ARISE NOW•011 IN THE FUTURE OUT
-OF THIS-TRANSACTION,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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GENE L CO •'RACI' RIGN T E ,
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ELECTRIcAtWNTRAcrOR-SIGNATURE DATE
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