HomeMy WebLinkAbout30 DAYS TEMPORARY POWER RELEASEl'
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Request for
Daterbr-
Project Address:
hhning & Development Services
raiding & Code Regulation Division
00 Virginia Ave
Ili Pierce, FL 34982
2-462-2165 Fax 772-452-64,43
0-Day TeMPOrarY Power Release
Permit Number:.
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:
I. This temporary power release i
occupancy of any type, other tf
2. As witness by our signatures, w
including Building Division Polio,
3. All conditions and requirements
Power for Testing" have been ft
4. All requests for an extension be
the reason for the request. Pow
the Final Inspection has not bee
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO
ALL LIABILITIES AND CLAIMS OF ANY
OF THIS TRANSACTION, INCLUDING I
DISCONNECTION OF ELECTRICAL POV
SIGNATURE
CONTRACTOR SIGNATURE
requested for the above stated purpose only, and there will be no
n that permitted by construction during this time period.
hereby agree to abide by all terms and conditions of this agreement,
which is Incorporated herein by reference.
sted in the attached document entitled "Requirements for 30 Day
filled and the premise is ready for compliance inspection.
and 30 days must be made in writing to the Building Official stating
r may be removed from the site and/or a Stop Work Order issued if
approved within 30 days. A fee of $100.00 will be required to lift
_D HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
'E OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
DAMAGE WHICH MAY BE INCURRED DUE TO THE
IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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