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HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE3� Planning & Development Services Department Building & Code Regulations Division RECEIVE® 2300 Virginia Avenue SCANNED Ft Pierce, FL 34982 NOV d�4 Phone: 772- 462-2165 BY Fax: 772-462-2522 09IFntlkting tiePartme _: _ ,, ��y, St, Lucie County nt Request for 30-Day Temporary Power Release Date: �1I G l Ll 4 Z© /'8 -Permit Number: /808— 6S0 _ Project Address: S Z V 2— �11�-� THE UN! ERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE j ABOVE DESCRJBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PUOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL INSPECI�','ION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNO LEDGE AND AGREE AS FOLLOWS: 1. 1�' is temporary power release is requested for the above stated purpose only, and there will be no occupancy any type, other than that permitted by construction during this time period. 2.. witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement, including ilding Division Policy, which is incorporated herein by reference. 3. 1 conditions and requirements listed in the attached document entitled "Requirements for 30 Day Power for 4.sting" have been fulfilled and the premise is ready for compliance inspection. 5.1 requests for an extension beyond 30 days must be made in writing to the Building Official stating the reason r the request. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspections not been approved within 30 days. A fee of $100.00 will be required to lift the Stop Work Order. WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR E PLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH A Y ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING ANY D pAC E WHICH BE INCURRED DUE TO THE DISCONNECTION OF ELECTRIO& POW THE EVENT OF VIOLATION OF THIS AGREEMENT. TURF SLCPDSD Revised SIGNATURE TI �`j t,o.18 1��14R AF y 19W ATE V