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HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEf Planning & Development Services Department Building & Code Regulations Division COUNTY 2300 Virginia Avenue Ft Pierce, FL 34982 Phone: 772- 462-2165 SCANNED Fax: 772-462-2522 R'e-q est for 30-Day Temporary Power Release �8 Permit Number: 1306 " ©/ 1 ect Address: IQ 7oZr .S; 6eao2 DiiP T E UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABbVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR T E PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL IN PECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY A KNOWLEDGE AND AGREE AS FOLLOWS: I. This temporary power release is requested for the above stated purpose only, and there will be no occupancy of any type, other than that permitted by construction during this time period. 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 4. Testing" have been fulfilled and the premise is ready for compliance inspection. 5. All requests for an extension beyond 30 days must be made in writing to the Building Official stating the reason for the request. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspection has not been approved within 30 days. A fee of $100.00 will be required to lift the Stop Work Order. HEREBY RELEASE AND AGREE TO HOLD HARMLESS,.ST. LUCIE COUNTY, AND :IR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE ICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING (DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF ,CTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. 1ZAZ" �, A /11—X1, �/WIA7/ O SIGNATURE DATE GE1 E ;OlTRAC SI NATURE DATE EL�'CTRICAL CONTRACTOR SIGNATURE I' .. DATE Revised 06/14/2010 RECEIVED JUN 18 2014