HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASERECEIVED
JUN 11 2019
U S`t: Lucie coun Perini
- Planning & Development Services Departm t RECLIVtL)
4:1
Bui ding & Code Regulations Divisio
230 "a Avenue ..9, V7irgm.. .. � . JU N 2019
• Ft Pierce, FL.34982
7 462.'2165 Permitting
hou� 77 �T. Lucie County,
P Fax.772 462 i572
Request for 30-Day Temporary Power Release
Date: Permit Number.
Project Address:
d6-
10,
THE UNDERSIGNED:HEREBY REQUEST RELEASE. OF ELECTRICAL POWER TO THE
RELEASE
ABOVE DESCRIBEI)TROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30). DAYS, FOR
THE PURPOSE OF TESTING SYSTEMS - AN'DEOtJIPMgNT'INPREPAkATIO'N'.-F-ORF'IN',kL,
INSPECTION. IN CONSIDERATION'OF APkOVAL'OF THE REQUEST WE HEREBY
ACKNOWLEDGE- AND AGREE AS`F0L11O*S:
1— This temporary power release is requested fdi
of any type, other than that permitted by cons
2. As. witness by our signatures, we hereby agrek
Building Division Policy, which is incorporate,
3. All conditions. and requirements. RUA in the s
4. Testing" have,been fulfilled and the premise isS. All requests for an extension beyond 30 days r.
for the request. Power may be removed kom
has not been approved within 34-days. Afee-
WE HEREBY RELEASE AND AGREE TO HO
THEIR EMPLOYEES FROM ALL LIABILITI)
WHICH MAY ARISE NOW OR.IN THE FUTU
ANY DAMAGE WHICH MAY BE INCURRED
ELECT -POWER IN THE EVENT OF V]
SLC.PDSD ReThed 06/14/3010
the above stated purpose only,.and there will tw.no occupancy
traction during this time period.
to abide, by all, terms and conditions of this agreement, including
I herein by reference.
tithched document entitled "Requirements fot. 30 Day Power for
ready.forcompliance inspectio
mst hie made in wiriting.tiD the Building Official stating the reason
'the site and/or a Stop Work Order issued ift I he Final Inspection
of $100Mwill be required.to lift -the Stop Work.Order.
I HARMLESS, ST. LUCIE COUNTY, AND
AND CLAIMS OF ANY TYPE OF NATURE
OUT OF THIS TRANSACTION, INCLUDING
UE TO THE DISCONNECTION OF
IATION OF THIS AGREEMENT.
DATE