HomeMy WebLinkAbout30 Day Temporary Power releasePlanning & Development Services
Building & Code Regulation Division
2300 Virginias Ave
FOrtc Pierce, FL 34962
772-462-2165 .Fax ,772-462-6443
Request for 30-Day Temporary power Release
Date: -- J
Permit Number:
Project Address: QE �l.L,r - -
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 APPROVAL
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
L OF THE
I. This temporary power release is requested for the above stated purpose only, and there will be no
occupancy of any type, other than that
pZ. As witness by our signatures, we hereby agree too abide by alby ltion ter suring and conditionthis times 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
Power for resting" have been fulfilled and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be made in or
to the Building Official stating
the reason for the request. Power 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 $100.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEE
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE S FROM
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT, OUT
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SIGNAn JRF
CONTR4ChIP er—-MAI„.�,
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