HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE• r
ST LUCK
COUNTY
F1o1k IID. A..
Planning & Development Sel*vices
1301dirig &,Code Regulation Division
2300 Virgj6ia Ave
Fort Pierce, FL 34982
772-462••2165 Fax 772-462-6443
Request for 30-Day Tertiporalry Power Release
Datp-, - PrDject Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF E K.7RICAL POWER TO •rF!E ABOVE ❑ESMBEO
PROPERTY, FO€t•A PERIOD NOT TO EXCEED THIRTY (30) 0AYr5, FUR THE PURPO v OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECT 0N. IN C'O.N S 10 =- R A T 10 N OF A€'PrcOVAL i'IF rF if
REQUEST VVE HER�6Y ACKNOWN FDGE AND AGREE AS FOLLOWS
ihi5 tempora-�, K—aer releas= is r ecluebied fo, the alan-je stjti'zl pu' pu5e OWY, drrd flier'_ ti'r 'I Yie' h J
orcuprcy Of ar'Y we, ether than chat perini,ted by 1.0n,rructj1V r1orin•3 thi; ome per,rsd
A,; mtness t+y our skgriakilre5, vm rereb3 c'i; £(- to abide by all ter.mi and cordr(jrm� Of Mt Agreanienl,
wc{ uding Building Dmsron Porgy, whw.h r5 irworu0rcited herein b, itrerence
Q condrtior s and +cquirements listed rr1 Chi att2r�,P l drxurrrerir €nM1&J •'Rert.lUtrIn ants iJ' 31, lde
Paver `or ' e5tkn.;' have been fulfilled an.t� the pre:tusv Is ready for cornpijince msppc-riCn
All -eque$ts for an r)tension beyond 34 d+)YS must be m8cie {n'rMTPA(j to Zh-0 BL1JdMq (W(10a1 5r.i,
l�f' feason for rhP. Feaur! t Puv' er may be kilted fj o t, V-u �Itt' ond,'G' a S:r)�) Worn Ordc%f isylf?a1 a
the Fir,aI Inspectiori has nu'• been approved 44 chin 30 dao. A fee a 0ri 00 w,lI be reQuirceC tc, !.rt
9'e Stop %'. uf k Order
VfE HERL-9Y RELEASE AND AGREE TO HOW HARMLESS, ST LU(AE COLIN r'i, A'NO TFIEIR EMR-0-(EF: S FkoM
ALL LIABILITIES AND CLAINIS OF ANY n'PE OF NATURE WHICH MAY ARISE NOW OR IN THE FL17LJRE T)UT
Or THIS TRANSACCCN, INCLUDING ANY DAMAGr WHI&I mAY BE INCURRED DUE TO THE
DiSCONNECTIGN OF ELECTRICAL POWER EN THE EVEPJT OF VIOLATION OF THIS AGRt EMEN-r
DATE
-3/2 ;zz
GE"JERAL COt+'TRACT:)P. SIGNATME DATE
ELECTRICAL CONTRAC70R SIGNATI)RE