HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE09/12/2011 14:16 7724501494
GRANDE CONSTR OF FLA
PAGE 01/01
Date: 7 -/z. - tt
ProjectAddress: 5-'SO5-
Planning & Development Services Department
Building & Code Regulations Division
239OVirginInAvanne
Ftricrc4FL34992
Phone: 772- 467,2165 SCANNED
Fax: 777,462-2522 LIZI;07-) BY
Request for 30-Day Temporary Power Release St LUCI e- Count%,
PermitNumber. 110(o-030�)
CA S S I FA
TEE UNDERSIGNED HEREBY REQUEST RELEASE: OF ELECTRICAL POWER To THE
ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THRTY (30) DAYS, JrOR
THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
INSPECTION' IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
L This temporary Power Wtate is requested for the above stated purpose 0*, and there will be no occupancy
of any type' other than that Permitted by construction during this time port
2. As witness by our signatures, vve hereby agree to abide by all terms and eon Od
Building Division Policyp which is incorporated herein by rehrence. ditions of this agreement, including
S. All conditions and requirements listed in the attached docament entitled "Pequirements for 30 Day power for
4 ' Testing" have been fulfilled and the promise is ready for compliance inspection.
S. All requests for A" extension beyond 30 days must be made in writing to the Building Oincial stating the reason
for the reguen. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspection
has OOtbOen approved v4thin30 days. A fee Of SIGO-00 will be required to lift the Stop Work Order.
WE HEREBY RELE ASE AND AGREE To HOLD HARMLESS, ST. LUCIE COUNTY, AND
THEM EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE
WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF TE[IS TRANSACYTONt INCLUDING
ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE DISCoNNECTTON OF
ELECTRICAL POWER IN THE EVENT OF VIOLATTON OF THIS AGREEMENT.
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