HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEr f�� `�3ES°T 'FO �0 DAY, `TkMPO Y POWEk, RE'LEAsE.
DATE: St. Lucie.County Comm: -bevel. 'Dept'
Code. Compliance Division
2 2300, Virginia Avenue. .
Fort Pierce, FL 34982-5652 -
PERMIT NUMBER::. Ph. • (561)' 462- 2.165.
/ Fax (561) 462-1735 :,
S�Jgm 01 cind �Junoo aion
PROPERTY, ADDRESS! —
Pow
cow L o inr
THE UNDERSIGNED' HEREBY REQUEST RELEASE OF ELECTRICAL ',POWER TO:,
THE.ABOVE•.DESCRIBED PROPERTY, FOR A PERIOD NOTTO;EXCEED THIRTY;(30.).
S, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN. PREPAAA,-
TION FOR, FINAL •INSPECTION. -IN CONSIDERATION OF APPROVAL" QF THIS
REQUEST WE:HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested. for the above stated purpose' C
J bniy, and there will be no occupancy of any type, other than that permitted
by construction during this time period.. �,�C : O
2. As witness by our signatures; we hereby agree to abide. by all. terms and ` 04�' =
i conditions of this agreement, including_ Building Division Policy'' is 2 , :..-
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:- th'e
premises is 'r9ady for compliance inspection.
We Hereby release Gold agree to hold harmlese,`St.'' Lucie -County,`,, and:'the' f employes
from aN ;liabiJit�es and: claims of any typo or nature which may:- arise now:'or:in the future,
.,out. of ;'this rarisactiori, ` including any damages :.. Viihich' may be incurred 'duel 'to: the
di's' nnecti9n,. of electrical. pGwer in the event of violation of this: agreement:
wnor:.. at re :.
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