HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASED'/✓0;�LCL5
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BY 4,ba , �
.Planning & Development Services
Building & Code Regulation Division %C"pa,�
2300 Virginia Ave `sty ehF
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
p e; 4'�8�2019 Permit Number:
1807-0243
Pr jest Address:
3409 Bent Pine Dr., Ft Pierce
E UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PI PERTY, FOR A PERIOD NOT R O DCCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AD EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION.. IN CONSIDERATION OF APPROVAL OF THE
QUESTWE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above stated purpose only, and there will be no
e other than that permitted b construction during this time period.
occupancy of an p Y
P cY Y type,
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 writing to the Building Official stating
site and/or a Stop Power may be removed from the/ p Work Order Issued if
the reason for the request. Pow y
wired to lift
within 30 days. A fee of 100.00 willbe req
the Final Inspection. has not been approved y $
the Stop Work Order.
E HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
LL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT.
F THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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WNER SIGNATURE DA
I
N R SIGNATURE DATE
ill E CAL CONTRACTOR SIGNATURE DA