HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE12/21/2018 07:25 AM PST TO:17724E21578 FROM:5616880909
Page: 2
4CANNW
By
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Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pie ice, FL 34982
772-462-z165 Fax 772-462-6443
Request for 30-
Date: Z!
Project Address:
RECEIVED
c E C 21 2018
ST. Lucie County, Permitting
Temporary Power Release
Permit Number, / 906-0/a !
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 request
occupancy of any type, other than that F
2. As witness by our signatures, we hereby
Including Building Division Policy, which'.
3. All conditions and requirements listed In
Power for Testing" have been fulfilled ar
4. All requests for an extension beyond 30
the reason for the request. Power may i
the Final Inspection has not been approN
the Stop Work Order
for the above stated purpose only, and there will be no
-mltted by construction during this time period.
gree to abide by all terms and conditions of this agreement,
Incorporated herein by reference.
e attached document entitled "Requirements for 30 Day
the premise is ready for compliance inspection,
ys must be made in writing to the Building Official stating
removed from the site and/or a Stop Work Order Issued if
J within 30 days. A fee of $100,00 will be required to lift
WE HEREBY RELEASE AND AGREE 1.0 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 NSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNETRON OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
DATE
W11rcnn1. wiv I IALI KCbWNAI VK1z ' DATE'
CTRICAL CONTRACTOR SIGNATURE DATE