HomeMy WebLinkAbout30 DAYS TEMPORARY POWER RELEASEr.=t Manning Development Services LR-e-ncr �-"S
Building & Code Regulation Division
300 Virginia Ave
FOrt Pierce, FL 34982
t bequest for 30-Day Temporary Power Release
Date: t J� 1:3 Permit number: { — �? 7 �
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Project Address: 0
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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 li4§PECTION. IN CONSIDERATION! OF APPROVAL OF THE
REQUES i WE HEREBY :ACKNOWLEDGE AND AGREE AS FOLLOWS:
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 permitted by construction during this time period.
2. As witness by our signatures, we hereby agree to abide by all terms and conditions 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 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. Povier may be removed from the site and/or a Stop Work Girder issued if
the Final Inspection has not been approved within 30 days. A fee of 1100.00 will be required to lift
the Stop ftrk Order.
We HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF yA i t?RE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF r\HIS TRANSACT ION, INCLUDING ANY DAMAGE WHICH MAY BE IMCURRED DUE TO THE
DIST'?NNECTION OF ELE RRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
SIGMA
ELECTRICAL CO
SIGNATURE
SIGNATURE
RECEIVED AUG'2.-2017
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DATE
DATE
JUL 2 ® 20l1