HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASENOV-2-2006 15:10 FROM:L URA BLDR 7723365845 r TO:4626443 P:2/2
St. Lucie County
Building & Zoning Department CEIVED
2300 Virginia Avenue I O V 0 2 2006
Fort Pierce, FL 34982
772-462-2165
TED
Fax 772-462-1148
Request for 30-Day Temporary Power Release
Date:
Property Address: 02 i4
Permit Number: RN:0-6(�-
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE
ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO TXCEED TMRTY (30) DAYS, FOR
THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. 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 cenditionm
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 Tower for Testing" have been fulfilled and the promise is ready for compliance inspection,
WE HEREBY RELEASE AND AGREE TO FOLD HARMLESS, ST. ,LUCIE COUNTY, AND
THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE
MUCH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING
ANY DAMAGE 'WHICH AMY BE NCURRE DUE TO THE DISCONNECTION OF ELECTRICAL
POWER IN THE EVENYOF VIOLATION OF THIS AGREEMENT.
•" 1
A.
OWNF,4 SIG . DATE