HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEr SCANtuBY
SftudeCounty RECEIVED
Planning l& Development Services DEC 2 0 2018
Building & Code Regulation Division permitting ®g
2300 Virginia Ave,! St' Luc1e f:ou� vent
Fort Pierce; :FL` 34982 ,
772-462-2165 Fax 772-462-6443
Request for 30-Day''Temporary Power` h Release
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Date: eu/Aoni�1R. 2011?) Permit Number: 1805 - OS 6 9
I ,
Project Address: '7 9 0 1 D eec- 1�-�n. ie-' Aui-
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 requested for the above stated purpose only, and there will be no
occupancy of any type, other than that permitted by construction during this time period. '
2. As witness uy our signatures, we; hereby, agree to abide by all terms and conditions of this agreement,
Including ButrigildDivision Polley, 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 been fulfilled and the premise Is ready for compliance inspection.
4. All requests!for an extension'beyond 3Qdays 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 not been approved within 30 days. f A fee of $100.00 will be required to lift
the Stop W'rk Order.
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 T SACTION, INCLUDING ANY DAMAGE -WHICH- MAYBE INCURRED DUE -TO THE
DISCONNEfiTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER
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