HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEEO n, rlJ �JJ
OCS
•P!laening & Development Services
ofti.d pode'lltegulation Division
0,08vimiti ? Ave
ft-vk-pier.0e,rft 34982
7'i2462-2'16S Fax 772-462-6443
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Request for 30-Day Temporary Power Release
Dais: Permit Number:
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Project Address: Q`
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
REQUEST WE HI9:EBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1 This temporary pourer 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 PoOcy, 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. Ali requests for an extension beyond 30 days must be made in writing to the Building Official stating
the Final Inspection on for the h not sL Power may be been approvedremoved with n 30 ddaaysthesite and/or a A fee of $100.00 will be required issuedWork Order if
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LiABILTTIES 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 INCURRED DUE TO THE
DISCONNECTION OF E,I EOT ICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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