HomeMy WebLinkAbout30 DAY REQUEST TEMPORARY POWER RELEASEBY
St Lucie County
Build
2300
Fort
Request for
Date: zl/2D�9
Project Address:
& Development Services
& Code Regulation Division
ginia Ave
ca. FL 34982
-2165 Fax 772-462-6443
Temporary Power Release
Permit Number: I u q -y (69
A&tr AW- C,5 , A4
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 A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requf
occupancy of any type, other than the
2. As witness by our signatures, we here
including Building Division Policy, whic
3. All conditions and requirements listed
Power for Testing" have been fulfilled
4. All requests for an extension beyond
the reason for the request. Power mi
the Final Inspection has not been app
the Stop Work Order.
ted for the above stated purpose only, and there will be no
permitted by construction during this time period.
y agree to abide by all terms and conditions of this agreement,
Is incorporated herein by reference.
i the attached document entitled "Requirements for 30 Day
nd the premise is ready for compliance inspection.
I days must be made In writing to the Building Official stating
be removed from the site and/or a Stop Work Order issued if
►ved within 30 days. A fee of $100.00 will be required to lift
WE HEREBY R E AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABI AND CLAIMS 0 TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS SACTION, IN U G ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONN ON OF E POWER 1N THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWESIOLRATURE DATE