HomeMy WebLinkAbout30 Day Temporary Power release�VJ
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Planning & Development
Services
Building & Code Regulation Division
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2300 Virginia Ave
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Fort Pierce, FL 34982
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772-462-2165
Fax 772-462_644'�3
Request for 30-Day Temporary power Release
Date: _ o��"I1 �.�--�
Permit Number: 1746 "
Project Address: r __ 4 L / —,,/— 1- %
RECEIVED
FER 21 1010
Permitting Department
St. Lucie County
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBE
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 D
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
Permitted2. As witness by our signatures, we herebyagreabide by alby ltion terms and condit onduring this times of this agreement
including Building Division PoH4ywhich is incorporated herein by reference.
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
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 EMPLOY
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 EES FROM
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. OUT .
"v I KAL-MR SIGNATURE
CONTRACTOR SIGNATURE
FILE COPY