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HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEr
Planning & Development Services
Building & Code Regulation Divisio". RECEIVED
2300 Virginia Ave
Fort Pierce, FL 34982 FEB 19 2019
772-462-2165 Fax 772-462-644 sT. Lucie County, Permitting
Request for 30-Day Temporary Power Release 49CANN99
Feb 00 -Uyig Permit Number: 18001- 0509 Lucia Couh*
ect Address: 05 N4oj�-,- I' 9gr PkRc.F-
1,
UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
'ERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING`SYSTEMS
EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN. CONSIDERATION OF APPROVAL OF THE
JEST WE HEREBY ACKNOWLEDGE 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 Testing" have been fulfilled and the premise is ready for compliance inspection.
4. 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.
WE-1"EREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL'
, IABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF iIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DIS (9 ,ONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
N R SIGNATURE DATE
Q �h i ,�.� Feb.
GEN5RAL CONTRACTORISIGNATURE DATE q
ELEC RICAL°CONTRACTO.R: SIGNATURE DATE' .' . ,.,