HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEPlanning & DeveloPment Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FI. 34982'
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date: S 2 3
Permit Number: 1,510 -- 0 C> -
Project Address: ~�
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWE PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR R TO THE ABOVE THE PURPOSE OF DESCRIBED
AWEQUIPNIENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROV SYSTEMS
R� EQUWE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS; APPROVAL OF THE
I • This temporary power release is '
occupancy of any type, other thathat �m+tt the construction am during only. and there will be na
z. As witness by .our signatures, we hereby agree to abide by all terms anti conditions of this a reem
this time period.
including Building Division Policy, which is incorporated hereil, b refer
3. All conditions and r y reference.
agreement,
requirements listed in the attached documert 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
the reason for the request. Power may be removed from the site an/o a e Building O order ,sating
the Final Inspection has not been approved within 30 days, q fee of $100,0�will beruder issued if
the Stop Work Order,required to lift
HEREBY RELEASE AND AGREE TO HOLD HARMLFSS, ST. f,UCIE COUNTY, AND THEIR EMPLOY
LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE F UR FROM
UiUR
THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY ,BE INCURRED DUE TO THE E OUT
CONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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