HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEPlanning & D.evelopment Services
: mlm! lig,1k pode:Re'17on Division
i�0�V11l111fp2f Ave'
Fps Piers e, FL 3.2
"2.462-2166 Fax 772-4624"3
Request for 30-Day. Temporary Power Release
RECEIVED
1AN 0 7 1020
Permitting Departmen•
SCAMkr+kcle Cou,.n,
BY
St. LueieCounty
Date: Z' O 7 - o"o�CJ Permit Number:
Project Address: SSD4' ��ir, vYPgea es cl ,vim
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE'DESCRIBED
PB,QPERTY, FORA.. PERIOD NOT TOE)(CEED,THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FUM. INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REot1ESTWE•HEREBYACKNOWLEDGEAND-AGREE AS FOLLOWS:
This temporary power release li 6e Lm
occupancy of any type; other thai.thi
2.. Ai witness by our slgnaturi* we here
including Building Division [Pollcjt-wlih
3 All'oinditions and requirement§ Maid
Power for Testing" have tieeri fulfilled
4. All requests for an exbenslon.beyond;
the reason for the FequesL Powerma
the Final Inspection has not been app
the Stop Work Order.
br the above stated purpose only, and there will be no
r tted by construction during this time period.
ree bD abide by all tens and conditions of this agreement,
icorporated herein by reference.
';attached document entitled "Requirements for 30 Day
he premise is ready for compliance Inspection.
is must be made In writing to the Building Official stating
•emoved from the site and/or a Stop Work Order issued if
within 30 days. A fee of $100,00 will be required to lift
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES 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 ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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