HomeMy WebLinkAboutKrueger 30 day temp powerDate.
Project Address:
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temp®rare nwar Release
Permit Number: -t o-� -" oouq
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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 A FINAL INSPECTION. IN CONSIDERATION OF APPROV
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: AL ST THE
1. -Mi5 temporary power reled5e is requested for the above stag purpose only, and there will be no
occupancy of any type, ether than that permitted by construction during this time period.
2_ A5 witnLlss by our signatures, we hereby agree to abide by all terms and conditions of this agreement,
including Building Division Polity, which is incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled "Requirements for 3o Day
Paver for Testing" have been €ulfilled and the premise is ready for compliance inspection,
4. All requests for an extension beyond 30 clays must be made in writing to the Building Official stating
the reason for the request. Pourer may be removed from the site and/or a Stop Work Order issued if
the Final Inspection has not been approved within 30 days_ A fee of $Iia0.0€I will be required to lift
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 OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTIOA OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
SIGNATURE
DATE
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