HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE11/12/2018 12:30 PM PST
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TO:17724621578 FROM:5616880909
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SCANNI:u
BY
St Lucie Coimh
inning & Development Services
gilding & Code Regulation Division
00 Virginia Ave
rt Pierce, FL 34982
2-462-2165 Fax 772-462-6443
Page:
REMED
NOV 13 7018
Permitting Department
St. Lucie County
(Request fo' Lll�e
-Day Temporary Power Release
Date: i � gi Permit Number: go ` 5y 9
Project Address: �S f 2 ?I 1O -e D)e • f:; P
THE UNDERSIGNED HEREBY REQUE�T RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO IfXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION V
R A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
CKNOWLED
REQUEST WE HEREBY AAND AGREE AS FOLLOWS:
I. This temporary power rele a 'e is requested for the above stated purpose only, and there will be no
occupancy of any type, oth r than that permitted by construction during this time period,
2. As witness by our signature , we hereby agree to abide by all terms and conditions of this agreement,
Including Building Division Policy, which is Incorporated herein by reference.
3. All conditions and requirements listed In the attached document entitled "Requirements for 30 Day
Power for Testing" have begin fulfilled and the premise is ready for compliance Inspection,
4. All requests for an extensio beyond 30 days must be made In writing to the Building Official stating
the reason for the request. Power may be removed from the site and/or a Stop Work Order Issued if
the final Inspection has no- been approved within 3d days, A fee of $100.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE 1-0 HOLD HARMLESS, ST, LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF AiNY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS T NSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNEgTION OF ELECTRICAL I OWER IN THE EVENT or VIOLATION OF THIS AGREEMENT.
OWNER
DATE
DATE