HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEREQUEST FOR 30 DAY TEMPORARY POWER RELEASE
DATe.:
�D G3
PERMIT Numopw
a3oc�o�f3Co
PRoPereTY AoosEss:
9o3�qSU5
St Lucie County Comm. Devet. DepL
Code CormpUance Division
2300 Virginia Avenue
Fort Pierce, FL 34982-5862
Ph. (561) 462. 2166
Fax (set) 82-1735
SCANNED
BY
St. Lucie County
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO
THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOTTO EXCEED THIRTY (30)
DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARA-
TION FOR FINAL INSPECTION, IN CONSIDERATION. -OF APPROVAL OF THIS
REQUEST 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 oonetruatlon 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 referents.
3. All conditions and requirements listed In the attached document entitled
"Requirements for 30 Day Power for Testing' have been fulfilled and the
premises I$ ready for compliance Inspection.
We hereby release ar(d agree to hold harness, St. Lucie County, and their employees
from all liabilities and claims of any type or nature which may arise now or In the future
out of this transaction, Including any damages which may be Incurred due to the
disconnection of electrical power In the event of violation of this agreement
cbar,•b- a.. r
J
GREGORY M. KNUTR
OCT 0120Q3
.S1 iUcla COL,,^.:d PL`::�°.G.'�..