HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEIIOV VV VV UJ:UIP uuiloint zoninc tLC
S64 P01
REQUEST FOR 30 DAY TEMPORARY POWER RELEASE
DATE: St. Lucie County Comm, bevel_ Dept.
Code Compliance Division
2300 Virginia Avenue
Fort Pierce, FL 34982-5652
PERMIT NUMBErt: n -• ..,.
9 16.,22
PROPERTY AooREss:
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THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO
THE A90VE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30)
DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARA-
TION FOR FINAL, INSPECTION. IN CONSIDERATION OF APPROVAL OF THIS
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. Thia 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 tD abide by ali terms and
conditions of this agreement, including Building Division Policy, which is
incorporated herein by reference.
3. All conditions and requiremanis listed in the attached document entitled
Requirements for 30 Day power for Testing" have been fulfilled and the
premises is reedy for compliance inspection.
We hereby release and agree to hold harmless, $t. Lucie County, and their employees
from II liabilitie nd claims of any type or nature which may arise now or in the future
out this tr s lion, including any damages which may be incurred duo to the
di nectiop of lorioal power in the event of violation of this agreement.
ignature: —
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