HomeMy WebLinkAbout0502-1081-30 DAY TEMPORARY POWER RELEASEREQUEST FOR 30 DAY TEMPORARY POWER RELEAi'lloSTE,0
DATE: ST. LUCIE COUNTY BLDG. & ZONING
2300 VIRGINIA AVE
FORT PIERCE, FL 34952-5652
PERMIT NUM- BER: Ph. (561) 462-2155
C` M D ; - FA L:(5§X);.462ir 48
f a J BY � U �
'73t . Lucie CaAffil
PROPERTY ADDRESS:
Pc, ray N yelo�
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. E913PMENT IN
PREPARATION FOR FINAL INSPECTION. IN CONSIDERATION OF APPROVAL, OF
THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
L This temporary power release in requested for the above stated purpose only,
and there will be Sao 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 Testing" have been fulfilled and the
premises is ready for compliance inspection.
HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY,
D THEIR EMPLOYEES FROM ALL LIABILTuS AND CLAIMS OF ANY T`YpE OF
TURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS
ANSACTION, INCLUDING ANY DAMAGES WE9CH MAY BE INCURRED DUE TO
E DISCONN'ECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF
IS AGREEMENT. r^�
CONTRACTOR SI1
7
'CONTRACTOR
SIGNATURE