HomeMy WebLinkAbout30 DAY TEMPORARY POWERT RELEASESCANNED
BY
St. Lucre County
�{ -L_ Manning & Development service RECEI
�. t�� Building 8t Code ReguBatlon �i�i�i � N � 1
Virginia AVL:,
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-462-2165 Fax 772-462-6443 C:
Re jue3l fOr 3O-Day I-emparaay POvver Release
Date:
p - Permit Number: -
Project Address: O -- �
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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 TH
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
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1. This temporary power release is requested for the above stated u occupancy of any type, other than that permitted by construction du ng thionly,
time andthere
will be no
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 premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be made in wrrting to the Building Official stating
the reason for the request. Power may be removed from the site Stop Work Order issued if
the Final Inspection has not been approved within 30 days. A fee of $100and/or a
.0will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNT(, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
SIGNATURE
CONTRACTOR SIGNATURE ----
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