HomeMy WebLinkAbout30 DAY TERMPORARY POWER RELEASE0�7
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Date: January 12, 2016
Project Address:
&GAMMU
By
Ang & Development Services
,ng & Code Regulation Divisim;
Virginia Ave
�Ierce
,r FL 3490"
'-�M-2165 FaX 772-462-6443
Permit Number:
Fort Pierce, FL 3494149
M
THE UNDERSIGNED HEREBY REQUEST REL SE OF ELECTRICAL POWER TO THE ABOVE: DESCRIBED
PROPERTY, FOP, A PERIOD NOT TO EXCOE131 THIRTY (30) PAYS, FOR THE PURP SE OF TESTING SYSTEMS
0, . -
AND EQUIPMENT, IN PREPARATION FOR A �,INAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND� AGREE AS FOLLOWS:
1. This temporary.power release Is re
occupancy of any type, other than
2. As witness by our signatures, we h
including Building Division Policy., v
3. All conditions and requiremmts list
Power for Testing" have been fulfill
4. All requests for an extension. beyor
the reason for the, request. Power
the Il Inspection has not been i
the Stop Work Order.
iested for the above.stated purpose only, and there will be no
at permitted by construction d uring this time period.
aby agree to abide by all terms and conditions of this:agreement,
ch is Incorporated herein by reference,
I in the attached document entitled "Requirements for 30 Day
I and the prerrilse- Is ready for compliance inspection,
30 days must:be made In wrill the Building Official stating
ay be removed from the site and/or a Stop Work Order Issued If
)roved within 30 days.. A fee of $100.00 will be required to lift
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
PISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION. OF THIS AGREEMENT.
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