HomeMy WebLinkAbout30 Day Request Temporary Power ReleaseRECEI'.'--D NOV 2 5 Z015
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 Temporary Power Release
Date: _ Z5
Permit Number: k Sp2 — C)-LL-i ,L
Project Address: 1 'V 7 7� S
z Cnf SC P 32,77
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE
AND EQUIPi••9ENT IN PREPARATION FOR A FINAL INSPECTION. N CONSIDTHE ABOVE DESCRIBED
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS ERATION OF APpRO q�STEMS
0 THE
1. This temporary power release is requested for the above stated purpose only, and there
occupancy of any type, other than that permitted by construction during this time period. ell be no
2• As witness by our signatures, we hereby agree to abide by al! terms and conditions f
including Building Division Policy, which is incorporated herein. by reference.
3. All conditions and requirements listed in the attached document entitled "Requirementso this agreement,
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 it writing to the Building for 30 Day
the reason for the request. Power may be removed from the site and/or a Stop Work Ord
the Final Ins Official stating
Inspection has not been approved within 30 days. A fee of $100.00 will be requiered toissued
ftlf
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY
ATHIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY ; 'AND THEIR EMPLOYEES FROM
L
UE TO THE
UISCONNEC PION OF ELECTRICAL POWER IN THE EVE ARISE NOW OR IN THE FUTURE 0�-
EVENT OF VIOLATION OF THIDS AGREEMENT.
DA
DATE
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