HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASESCANNED
BY
Planning & D&WOMWittervices
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462L 2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date: 6/11 /2019 I Permit Number: 1311-0M3
Project Address: 3705 Tanager Pi Ft. Pierce,Fi.
I
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 re
occupancy of any type, other than
2. As witness by our signatures, we P
including Building Division Policy, s
3. Alllconditions and requirements lis
Power for Testing" have been fulfi
4. All requests for an extension beyo
the reason for the request. Powei
the Final Inspection has not been
the Stop Work Order.
Guested for the above stated purpose only, and there will be no
tliat permitted by construction during this time period.
a�eby agree to abide by all terms and conditions of this agreement,
,hich is incorporated herein by reference.
ed in the attached document entitled "Requirements for 30 Day
ed and the premise is ready for compliance inspection.
d 30 days must be made in writing to the Building Official stating
may be removed from the site and/or a Stop Work Order issued if
approved 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
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
SIGNATURE
SIGNA
SIGNATURE
DATE
Date:
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-216S Fax 772-462-6443
Request for 30-Day Temporary Power Release
6/11 /2019
Project Address:
Permit Number:
1811-0383
3705 Tanager PIf Ft. Pierce,Fl.
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 request+
occupancy of any type, other than that F
2. As witness by our signatures, we hereby
including Building Division Policy, which 1
3. All conditions and requirements listed in
Power for Testing" have been fulfilled ar
4. All requests for an extension beyond 30
the reason for the request. Power may
the Final Inspection has not been approi
the Stop Work Order.
for the above stated purpose only, and there will be no.
•mitted by construction -during this time period.
gree to abide by all terms and conditions of this agreement,
incorporated herein by reference..
ie attached document entitled "Requirements for 30 Day
the premise is ready for compliance inspection.
iys must be made in writing to the Building Official stating
removed from the.site and/or a Stop Work Order issued if
d 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
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
CONTRACTOR