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HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE@.-- Planning & Devi , M''a' " Building SCANNED BY St Lucie County Request for 30- Date: P Project Address: Sad $i da LIC111 (�✓lc� C ipment Services Department Code Regulations Division ) Virginia Avenue Pierce, FL 34982 Aiuno auau, � 'aS edal�lu ne:_772-462-2165 pBuj: I'd x: 772-462-2522 L101 .I � end iy Temporary Power Release czAzgnqa Number: A(05- — ©d/ 3 THE UNDERSIGNED HEREBY REQUEST RELEASY 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 FINAL INSPECTION. IN CONSIDERATION OF APPROVA� OF THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: 1. This temporary power release is requested for the aboi of any type, other than that permitted by construction 2. As witness by our signatures, we hereby agree to abide Building Division Policy, which is incorporated herein 3. All conditions and requirements listed in the attached i 4. Testing" have been fulfilled and the premise is ready f( 5. All requests for an extension beyond 30 days must be n for the request. Power may be removed from the site has not been approved within 30 days. A fee of $100.( stated purpose only, and there will be no occupancy firing this time period. y all terms and conditions of this agreement, including reference. cument entitled "Requirements for 30 Day Power for compliance inspection. de in writing to the Building Official stating the reason d/or a Stop Work Order issued if the Final Inspection will be required to lift the Stop Work Order. WE HEREBY RELEASE AND AGREE TO HOLD HARD THEIR EMPLOYEES FROM ALL LIABILITIES AND ( WHICH MAY ARISE NOW OR IN THE FUTURE OUT ANY DAMAGE WHICH MAY BE INCURRED DUE TO ELECTRICAL POYVER IN THE EVENT OF VIOLATIC LESS, ST. LUCIE COUNTY, AND ,AIMS OF ANY TYPE OF NATURE F THIS TRANSACTION, INCLUDING 'HE DISCONNECTION OF OF THIS AGREEMENT. OWNER SIG ATURE DATE 3/ GENERAL CO OR SIGNATURE DXrE ELECTRICAL CONTRACTOR SIGNATURE SLCPDSD Revised 06/14/2010