HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEi t - 7-42: _ :44A VI: CRE SENT RE CURC:ES 40, r:ps t
SCANNED I
&LU I ft0tST FOR 30 DAY TEMPORARY POWER RELEASE
DATE:
0
PERMIT NUMBER:
PROPERTY AoOREss:
�i3b-�$88 Os i %oc
St. Lucie County Comm. Devel, Dept.
Code Compliance Division
2300 Virginia Avenue
Fort Pierce, FL 34962-5652
Ph. (5611 462- 2165
0 7 2002
1 IStlu 1'e County Public %!orks
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO
THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED TKRTY (30)
DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARA-
TJON- FOR' FINAL INSPECTION IN CONSIDERATION OF APPROVAL OF THIS
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 thisltime 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 fisted in the attached document entitled
"Requirements for 30 Dayl Power for Testing" have been fulfilled and the
premises Is ready for compliance inspection.
We hereby release and agree tolhold harmless, St. Lucie County, and their employees
from all liabilities and claims of any type or nature which may apse now or in the future
out of this transaction, Including any damages which may be incurred due to the
disconnection of electrical powe , in the event of vioaation of this agreement.
:Kr 60usrALIZT18a .
it on actor.
• r
Ica ontractor. f
i