HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEFort
772,
RECEIVED
60A 0evolope>r ent Service
�l Code Regulatlan; Division JUN i 8 2Q19
%lr9lnla Ave Permitting Department
4,®r FL. 34962 St. Lucie county
52-2165 ' PDX 772- 62.6443
Request for 30-Day Temporary Power Retell .
Date: f �' /'i.� ` Permit Number:
Project Address:
THE UNDERSIGNED: HEREBY REQUEST RELEASi OF'ELI"GTRIm POWERfiO--H-E.Al pV
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A 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 wM 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 ail 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 [may
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 staging
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.
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