HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEO'
Planning & Development Services
Building code Regulation Division RECEIVED
2300 Virginia Ave JAN 0 2 Z619
Fort Pierce, FL 34982
—, - 772-462-2165 Fax 772-462-6443 ST. Lucie county, Permitting
Request for 30-Day Temporary Power Release 8CBVNS®
3t Curi<,
Date: /2 �// q Permit Number: /9� C7 COunty
Project Address: 712
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 s`[Si►S
AND PMENT IN PREPARATION FOR A FINAL INSPECTION
- IN CONSIDERATION OF APPROVAL OF THE
REQUEST HEREBY ACKNOWLEDGE AND AGREE AS
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 Asincwitness
sBuilding
1,I1 d n r Divisionata policy, erebyhich is gr erporoted heto abide relln by reference.l terms conditions of this agreement,
Britided
3, pot Power
for Tesandting° have been fulfilled and the premise is ready for compllanaei Inspection.
nrements or 30 Day
be removed from the site and/or a stop Work Order Issued If
4. All requests for an extension beyond 30 days must be made In writing to the Building Official stating
the reason for the requesC. Power may A fee of $100.00 will be required to lift
the Final Inspection has not been approved within 30 days.
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ASE NOW OR IN THE
UT
Y TYPE or NATURE WHICK MA
AL L LIABILITIES THIS TRAN ACND CLAIMS OF AN ANY DAMAGE WHICH MAY BE INCURRED DUETO THE FUTURE O
____.....,.r..,�� nc c; Fr-rRICAL POWEYIN THE EVENT OF VIOLATION OF THIS AGREEMENT.