HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE�z
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2300 Virginia Ave ST. Lucie Count Permitting
r-OIt Pierce. FL 34982
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... ....... _.....772-462-2 65 Fax 772-462-6443
Request for 30-Day TerI~IaPGraFV Povver Regease
Date: __J�l`f
------- Permit Number:
Project Address: ,L*3 e�,� J _ W-
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
P
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THEROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested
occupancy of any type, other than that per
2. As witness by our signatures, we hereby ar
including Building Division Policy, which is I.
3. All conditions and requirements listed in the
Power for Testing" have been fulfilled and t
4. All requests for an extension beyond 30 clay
the reason for the request. Power may be i
the Final Inspection has not been approved
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NA
OF THIS TRANSACTION, INCLUDING ANY DAMAGE
DISCONNECTION OF ELECTRICAL POWER IN THE I
OW
SIGNATURE
CONTRACTOR SIGNATURE
br the above stated purpose only, and there will be no
pitted by construction during this time period.
-ee to abide by all terms and conditions of this agreement,
corporated herein by reference.
attached document entitled "Requirements for 30 Day
ie premise is ready for compliance inspection.
s must be made in writing to the Building Official stating
moved from the site and/or a Stop Work Order issued if
vithin 30 days. A fee of $100.00 will be required to lift
ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
WHICH MAY ARISE NOW OR IN THE FUTURE OUT
:H MAY BE INCURRED DUE TO THE
OF VIOLATION OF THIS AGREEMENT.
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DATE
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