HomeMy WebLinkAbout22020536- 30 DAY REQUEST TEMPORARY POWER RELEASE02/19/2004 10:55 7724686919 MH WILLIAMS CON ST PAGE 02
y : s WED
By
REQUEST FOR 30, DA"Q,'�-ER RELEASE
�y�r� Y BLDG. & ZONING
DATE: , z o - o MAR � gg C
2300 VIRGINIA AVE
'I' IERCE, FL 34952-5652
St, Lucie County Public Works Ph. (561) 462-2165
PERMIT NUMBER: FAX (561) 462-1149
Zz oz:e�-1; Q.
PROPERTY ADDRESS.Ck LA
G-a
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO
THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED TIIIRTY (30)
DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN
PREPARATION FOR FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF
THE REQUEST WE $EREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release in 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 by our signatures, 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 been fulfilled and the
premises is ready for compliance inspection.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS,-ST. LUCIE COUNTY,
AND THEIR EMPLOYEES FROM ALL LIABILIITES AND CLAIMS OF ANY TYPE OF
NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS
TRANSACTION, INCLUDING ANY DAMAGES WHICH MAY BE INCURRED DUE TO
THE DISCONNECTION OF ELECTRICAL POWER IN THE EVENT O VIOLATION OF
THIS AGREEMENT.
SIGNA
r
GENERAL CONTRACTOR
�C,
ELECTRICAL CONTRACTOR
l041:1.
ai"l
Received Time Feb•19. 11:06AM