HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEMo
COUNTY
F L 0 R I D A
Date:
Project Address: S9 ! O D U
I
g & Development Services Department
RECEIVED
iuilding & Code Regulations Division
2300 Virginia Avenue NOV ]. 99019
Ft Pierce, FL 34982
is Phone: 772- 462-2165 Permitting Department
Fax: 772-462-2522 St. Lucie County
for 30-Day Temporary Power Release
Permit Number• ey 7 -
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 FINAL
INSPECTION. IN CONSIDERATION OiF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is regi
of any type, other than that permitte
2. As witness by our signatures, we her
Building Division Policy, which is in(
3. All conditions and requirements lists
4. Testing" have been fulfilled and the 1
5. All requests for an extension beyond
for the request. Power may be rem(
has not been approved within 30 da,
WE HEREBY RELEASE AND AGREE 7
THEIR EMPLOYEES FROM ALL LIRE
WHICH MAY ARISE NOW OR. IN THE
ANY DAMAGE WI/ dICH MAY BE INCU
IN THE EVENT
SIGNATURE
SLCPDSD Revised 06/14/2010
sted for the above stated purpose only, and there will be no occupancy
by construction during this time period. '
iy agree to abide by all terms and conditions of this agreement, including
rporated herein by reference.
lin the attached document entitled "Requirements for 30 Day Power for
lemise is ready for compliance inspection.
0 days must be made in writing to the Building Official stating the reason
ed from the site and/or a Stop Work Order issued if the Final Inspection
� A fee of $100.00 will be required to lift the Stop Work Order.
HOLD HARMLESS, ST. LUCIE COUNTY, AND
[TIES AND CLAIMS OF ANY TYPE OF NATURE
1TURE OUT OF THIS TRANSACTION, INCLUDING
,ED DUE TO THE DISCONNECTION OF
F VIOLATION OF THIS AGREEMENT.
DATE
DATE