HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE05-01-'19 12:04 FROM-
7728787656 T-442 P0005/0006 F-710
Date:
161) tent'SeNilc- eis
t;c
Ing SCANNED
6widn IVIOdh
A BY
ve. 4982 St. Lucie Counly
2-46214165 Fax 772-462-6443
Request 'fog 30-DayTemD ' - power: it.
rary Re
Projed Address: C-0
Perm,11t NUmber. \� — rQ--\J1n\ C) \
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE MOVE DESCRIBED
PROPERTY, FOR A
PERIOD'NOT To rXCEED THIRTY (30) -PAYS, FOR THE PURPOSE OF" EMNG SYSTEMSANb EQUIPMENT IN PREPARATIQV
FOR A RNAL INSPECMN, IN CONSIDERATION OF APPROVAL OF THE
REQUM WE 'HEREW AMOWLEDOE AND AGkEt:-M F(JLLOWS.-
1. This temprwy Power rel4am Is requested for the above sated Pprpm only, and them a be no
Occupancy of any type, other than that pemlitted by.
2. As witness by our sig . na� coh$VuLftion Wring this time perlod.
wtes, We hereby agrge to. abide by Mf terms arld conditions of this agreemerit,
incluclifig Building Division Policy, which is incorporated herein by reference,
3. All conditibns and Mulrefnents tinted' In the alldied de
Power : for Testing" have betri fulfilled" cument entitled ""Require m-ents for 30 Day
and the- Premise is ready for compliance ins'pecton.
4- All request's for --in extension beyond 30 days musst be. made in writing to the. Building -Official stating
the reason for the request, .Power may be removed:frorn the
site and/or a Stop Work order issued if
the Final inspection has not been -approved within 30 days. Afee of$100.00-willbere
the Stop Work Order. qWred bD lift
WE HERESY RELEASE AND AGRM TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLQYmS FR6m
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF'.NATURE WHICH MAY ARISE'NOW OR TN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE . jCk,' MAY � W - 0 E TH
THIS
" I H . M 13 IN MED U TO E
DISCONNECnON OF ELECMCAL POWER IN THE EVENT OF WOLATION OF THIS AGREEMEW.
ME'
R B,
a
ECHVED
MAY 1 2019
Permitting Department
St. Lucie County,, FL