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HomeMy WebLinkAbout30 DAY REQUEST TEMPORARY POWER RELEASERECEIVED Planning & Development Services D M Building & Code Regulations 2300 Virginia Avenue N SCANNED Ft Pierce, FL 34982 P B Phone: 772- 462-2165 St. Lude OMMY Fax: 772-462-2522 nt G l T 2 6 2018 ST. Lucle County, Permitting L�l 3 Request for 30-Day Temporary Power Release Date: c) 2 Permit Number: 1 K ( I 0003 Project Address: S ©w klct,,o 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 FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WkHEREBY CKNOWLEDGE AND AGREE AS FOLLOWS: 1. 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. I� I E HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND HEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE I CH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING `ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCONNECTION OF LECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. I WNER SIGNAT DATE o. L K ENE RACTO NATURE/DATt VI.ECT A1, CONTRA TOR SIGNATURE DATE Revised 06/14/2010