HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE 2-8-19\1
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p Planning & Development Services Department
Building & Code Regulations Division FF4o
COUNTY 2300 Virginia Avenue pe��i ®8
• R I D A Ft Pierce, FL 34982 Sr tt�og ?�1,9
- — - Phone: 772- 462-2165 4�oye ,
_ Fax: 772-462-2522 Cow � ,
BY -quest for 30-Day Temporary Power Release
_`T 9 i r`1r- aQ:e`�u`GY
Date: IDA 8 Permit Number: Lpc O ° 0 401
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Project Address: d 0
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 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 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
4. Testing" have been fulfilled and the premise is ready for compliance inspection.
5. All requests for an extension beyond 30 days must be made in writing to the Building Official stating the reason
for the request. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspection
has not been approved within 30 days. A fee of $100.00 will be required to lift the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND
THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF.ANY TYPE OF NATURE
WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING
ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF
ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
SIGNATURE
SLCPDSD Revised
®-31'fe
DATE
l'a7.1
DATE
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Planning & Development Services Department
=-= Building & Code Regulations Division RECEIVED
L. 2300 Viremb Avenue
Wtft- - p 77z � 1AN 1 0.3 2019
F= 772462-2=
Permitting Department
Request for 30-Day Temporary Power RelemeSt. Lucie c°untv
Date: /, NrmitNumber.
Project Address: fZk `dy{�
THE UNDERSIGNED HEREBY REQiIF.ST RELEASE OF ELECTRICAL POWER TO THE
ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY 00) DAYS, FOR
THE PURPOSE OF TF: TING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
L This temporary power release is regnested for the above stated parprse only, and there will he no occupaney
of any type, other than that pernnteed by cowAruction daring d* dim period.
2. As witness by ear s%imst ams, we hereby aEm to abide by all termsand eons of thh agreement indeding
DWidiog Division Policy, which is incerpomkd heron by reference. •
3. All cmulitiormand regUremeMslisted in the; tt8dted d0alnie<1t editled " Regd Irene tsfor 30 Day Ptwer for
4. Testing' hambeenAfifdlled andtheprecrbe is ready forcot ffluxee inspection.
5� All requagb foram extension heyo=d 30 days m®t be made to .seeing to the RuRdies O.cial stating the ramp
forthe request Power nay be removed from ttre site amYors Stolz Work OrderMard ifthe Piinal lopecdbu
has not been approved *Mn 30 days. A fee of SIMM wtTl be required to 110 the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND
THEIR EMPLOYEES FROM ALL LIABILITIl;S AND CLAIMS OF ANY TYPE OF NATURE
WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING
ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF
ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
9t.CPD5DRevised604f 0i0
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