HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE10/15/2018 13;33 PM PDT �`—�r);1772 621578 FROM: 56108809C7-
Page: 2
MW SCANNED
BY
Pfanni kkA^nt Services
Building & Code Regulation Division
23g0'Vir ginia Ave
M Fort Pie ce, FL 34982
/y�
72-4 6 -2165 Fox 7'//2-462-6443
RECEIVED
OCT 17 7018
Permitting. Department
St. Lucie County
NE® Request for 30-Day' Temporary bower Release
Bgly�) -- Permit Number;
ProjectAddress*
THE UNDERSIGNED HEREBY REQUCST RELEASE OF ELECTRICAL, POWER TO THE ABOVE DESCRIBEIb
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARAnON FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGtZ E AS FOLLOWS,
1. This temporary power release is requested
occupancy of any type, other than that per
2. As witness by our signatures, we hereby ac
Induding Building Division Policy, which Is I
3. All conditions and requirements listed in th
Power for Testing" have been fulrilled and
4, All requests for ah extension beyond 30 da
the reason for the request. Power may be
the FInal Inspection has not been approves
the stop Work Order,
for the above stated purpose only, and there will be 110
rutted by construction during this time period.
ree to abide by all terms and conditions of this agreement,
ncorporated herein by reference.
attached document entitled "Requirements for 30 i)ay
,he prernise is ready for compliance inspection.
�s must be made in writing to the Baliding official stating
emoved from the site and/or a Stop Work Order Issued if
within 30 days. A fee of $100,00 will be required to lift
WE HEREBY fiELEASE AND AGREE, TO HOLD HARM, l ESS, ST. i.UCIE COUi3 T Y, 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, INCLUOING ANY DAMAG WHICH MAY BE INCURPED DUE TO THE
DISCONNE& ION OF ELECTRICAL POWER IN THE EVENT OF VIOLKTI:ON OF THIS AGRt EMEM',
�LI�T�:a
S1
/0
0