HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEplanning O Development 5eliV18ces..
23®0. Virginia -Ave
€ ort Plerc-e,,-FL 34982
772--462-2165 fax 772-462-6443",
Request for 30-Daffy Temporary power Release
ST
RECEIVEb
APR 0 5 2013
Lucie County, Permltting
SCANNED
BY
.St Lucie County
�n
Date: Permit Number: t 8 p — 0 �--1
Project Address:
THE UNDERSIGNED'HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FORA PERIOD 'MOT TO EXCEED THIRTY (30) DAYS, FOR THE -PURPOSE OF TESTIN(' SYSTEMS
AND EQUIPMENT IN PREPARATION FORA FINAL INSPECTION. IN :CONSIDERATION OF APPROVAL OF THE
REQUEST 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 Co abide by all terms and conditions of this agreement,
I including Building Division Policy, which is incorporated herein by reference.
13. 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 mustbe made in writing to .fie Building Offidal stating
the reason for the request. Power maybe removed from the site and/or a Stop Work Order issued if
the Fin at Inspection has 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 -EMPLOYEES -FROM
ALL LTABILM'_ ES AND. CLAIMS OF ANY TYPE OF NATURE WHICH MAYARISE.NOW OfZ.IfV THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING -ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
r,T- i,win�rrrrinF n= Gt �rrbTrni• Dr)1AMP N THE FVFAIT nF VI0lAiTOiV OF.THIS AGREEMENT.