HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASESCANNED St. Lucie County
By uilding & Zoning Department
st turf, 2300.Virginia Avenue
Fort kilerce, F'L 34982
772-462-2165
Fax 772-462-6443
RECEIVED
MAR 0 6 2008
Public �Nos-;
St. LuciL County, FL
Request for' 30-Day Temporary Power Release Of 7�,
Date: Permit NumbencIT3
Property Address:
THE 1"kR.S`IGNE-D HEREBY RIE
ABOVE bi�SCRIBED PROPERTY,
THE PURPOSE Of TESTING SYS'.
INSPECTION. -IN,,CONSIDERA114
I �.-X V.,11
ACKNOWLEDGE AND AGREE A!
M-This temporary power release is
and there will be no'occupancy
during this time period.
2. As witness by our signatures, we
of this agreement, including Biti!
3. All conditions and requirements
"Requirements for 30-Diy Powe
4. All requests for an extension be3
for the request. Power maybe i
has not been approved within 31
�UEST RELEASE OF ELECTRICAL POWER TO THE
'OR A PERIODNOT TO EXCEED THIRTY (30) DAYS, FOR
EMS AND EQUIPMENT IN PREPARATION FOR FINAL
N OF APPROVAL OF THE REQUEST WE,HEREBY
FOLLOWS:
xluested, for the above stated purpose only,
any type, other than that permitted by construction
�ereby agree to abide by all terms and conditions
[ing Division Policy,which is incorporated herein by referenm
is" in the attached document -entitled
for Testing7l havebeen fulfilled and the premise is ready for compliance inspection.
ond 30 days must be made in writing to the Building Official stating the reason
-moved from the site and/or a Stop Work Order issued if the Final Inspection
days. A fee of $100.00 will be required to W-the Stop Work Order.
WKHEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY,. AND
Tlikut EMIPLOYEES FROMALL LiABILr= AND mmms OF ANYZT` YPE OF NAT. . URE
WHICH MAY ARISE NOW OR IN'T�HE FU!I`URE OUT OF THIS TRAN§kC_- !-IONj-INC�URING
ANY DAMAGE WHICH MAY BEIINCURRED DUE TO THE DISCONNECTION OF
ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS A GREEMENT.
M __9
DATE
— -� — 0
DATE
CONTRACTOR SIGNATURE DATE