HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE• 1
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave U.
Fort Pierce, FL 34987 BY
772-462-2I65 Fax 772�462-6§jjUa&.tfl996
Request for 30
Date;
Property Address.: 101,26-
THE UNDERSIGNED HEREBY REQUEST RELE
FOR A PERIOD NOT TO EXCEED THIRTY (30)
IN PREPARATION FOR FINAL INSPECTION, I
ACKNOWLEGE AND AGREE AS FOLLOWS:
1. This temporary power release is rE
occupancy of any type., other than
2. As witness by our signatures, we h
including. Building Division Policy, i
3. All conditions and requirements li<
Day Temporary Power Release
Permii.Number.:— _10 2 -�
'100
E Or, ELECTRICAL POWER TO THE ABOVE DESCRIBED PROPERTY,
AYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENTS
CONSIDERATION OF APPROVAL OF THE REQ�,UE$T WE HEREBY
sted for the above state purpose only, and there will be no
permitted by construction during this time period.
iy agree to abide by all terms and conditions of this agreement;,
h is' incorporated herein by reference.
in the attached document entitled "Requirements for 30 Day
Power for Testing" have been fulfilled and the premise Is reedy for compliance insoection.
4. All requests for an extension beyond 30 days must be made in writing to the Building Official stating
the reason for the request. Power m.ay be removed from the site and/or a $top Work Order issued if
the Final Inspection has not been approved within 30 days. A fee of $100 will be, required to lift the:
Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOW i HARMLESS, ST LUCIE COUNTY, AND THEIR EMPLOYEES FROM ALL
LIABILITIES AND CLAIMS. OF ANY TYPE OF MATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS
TRANSACTION, - INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION
ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
9- 2,
OWNER SIGNATURE
E CON RAC OR SIGNATURE D TE
ELEGRICAf< A(`I*O�NATURE 'DATE
I
I
RECEIVED SEP 2,3 2013
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