HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE--Jul 2619 02:48p Telese Builders L; _ 772-4R;--6261
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
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Permit Number: f o -- o -100 6 G1 u-577,
Address: � Js - r eAtm rmC- T �T PQ4 ��1'-LCr`a',�, �Z- S W(P
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
RE06EST 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 rdgbest. PdW&.rriay 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 HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCL R0E 1 U1= TDB' E
DISCONNECTION OF ELECTRICAL POWER IN THE EV -. N-CF THIS,6#GRI]EMENT.
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` ° Notary Pubtic - Slate of Florida
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Commission # GG,9,138�9
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OWNER SIVATORE
GENERAL. C CTOR SIGNAT RE
ATE
FLE RI O CTOR SIGNATURE
DATE
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RECEIVED
JUL 26 2019
Permitting Department
St. Lucie County, FL