HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEPlanning & Development Services
ISTIUCtE Building & Code Regulation Division
,tOUNTY 2300 VirgiAa Ave
• ft 1 0 A Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Permit Number: -2 d e l y
�: ,'tiJEtiS:u'YEJ �:REA} REQUEST RELEASE Or ELECTRICAL POWER TO TFFE ABOVE DESCRIBED
c0;• 4 PE;I00 NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
",,-Iah:Y�'` IN PREPA-IA71ON FOR A FINAL INSPECTION. I.'V COPaS[G=P;sTION e;= gprF40' :L 0� TFrF
c c ; _5` V.E Hr;=5Y AC%ti%IJWLECGE AND AGREE AS FOLLOWS:
'erl e-ti' t/Jr.E+ ";leas_ 1; requel-ted fa the above stated pu+pose or:y, and there vs. I pe •%)
-)' ar, type, ocher that: that permitted by construction durimj this time pere-d
exr-t-_ t y oar s,gnat++sec, we hereby agree to abide by all term; and conditions of I vi ay"eement,
j: 5J.Lc ng D�vrs+on rojiry, whw-h i5 ir+rarporated herein b'i reference.
r+ C-O,: a-s a-+d +Cq:j,remen— listed in the attactled d_{uawnt entitled'Regjiremefgs fo• 3", ?a,
;awe- `or—estirk" have been fulfdlv-d 2:-.d the premiss is ready for compliance tnsN'R�Gn
-eoues•.� for v a>tension beyond 30 clays must be made in irrtintg to the Svilding OFPrc l sta;
(►f rtzsrir, (.rjr ttw reouev FoAer (ray tee removed from tie site and;or a &roj Warn Ord!r -siJaC
t'.r Fr-„i Irspecoo,+ has no., Neer, approved w-thin 30 days. A fee of $100 *3 w++i be req,--e! to i,ft
*-e Sioa V:crk Order
P��Fl,$E AND AGREE TO HOLD HARMLESS, ST LUCIE (QUNr(' A 40 THEIR EM;�0fEE5 FRJ'-t
AND 'LLAIR1S OF ANY TYPE OF NATURE WHICH MAY ARJSE NOW OR IN THE FJT;lRE (-),IT
-GJ-.'vSA TICK, 1'4CLUDJNG ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMW-
t)ATE
3-22 -22
GE'JC'%AL c0!,-TP ,CTJk 51604ATURE GATE —
ELECTRICAL CONITRACT(jk 5J'jRIATURE
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