HomeMy WebLinkAbout30 Day Temporary Power Releaser h.
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�-- Piaonim & Development Services Department
Building & Code Regulations Division
2300 Virginia Avenue
R
Ft Pierce, FL 34982
Fbone: 772- 462.2I65
Fax: 772-464 25z2
Bequest for 30-Day Temporary Power Release
Date: al2k,1 " ZZl Permit Number: ���j � � r 03 q
Faroject .AddMs: V S OCf�� -DY- - # -`� q
THE 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 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 conditions of this agreement, including
DuRding Division Policy, which is incorporated herein by reference.
3. All conditions and requirements listed in the. attached document entitled "Requiremexuts for 30 Day Power for
4. Testing" have. been fulfilled axed the promise is ready for compliance inspection.
5. All requests for an extension beyond 30 days must be made in writing to the Building Official stattng the reason
for the request. Pourer way be removed from the site and/or a Stop Work Order issued if the Hual Inspection
has not been approved within 30 days. ,A, fee of S100.00 will be required to lift the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, ,AND
THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE
WHICH MAY ARISE NOW DR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING
ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF
ELECTRICAL -PO IN THEYVENT OF VIOLATION OF THIS .AGREEMENT.
SIGNATURE
SIGNATURE
S1LCPDSD Rrvised 06/14/2010
DATE
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