HomeMy WebLinkAbout30-DAY TEMP POWER RELEASEaiL 4i3ft..&' .A.zal 1pmentSerAces
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Request for 30,0ay Temporary Power Release
SCANNED
BY
at. Lucie County
-Date: C'1=`04, ^ ,5ZPQ0 Permit Number: / %%, " Q O %Q•
Project Address: a J a rcy
OWN
THE UNDE IGNED HEREBY REQ RELEASE OF ELEcrizicAuFbWER 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 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 construction during this time period.
2. As witness by our signatures, we hereby agree to abide by all term and conditions of this agreement,
including Building Division Policy, 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. All requests for an extension beyond 30 days must be made in writing to the Building Official stating
the reason for the request Power may be removed from the site and/or a Stop Work Order issued If
the Final Inspection has not been approved within 30 days. A fee of $100.00 will be required to lift
the Stop Work Order.
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 FOR IN THE FUTURE OUT
OF THIS •TRANSACTION, IN%U1PING 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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f o IIIIIiL9 & Development Services
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fiY 1�I6r�ei FL 982
7 zt 4b2 2 65 Fwc 772-462-6443
Request for 3o-Day Temporary Power Release
Date: `% — % ' g2 / Permit Number:
n.., _,., Project Address: 3./
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THE UNDERSIGNED HEREBY REQUE RELEASE OF ELECTRICAL POWER TO THE ABOVEDESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEEDTHIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FORA FINAL INSPECTION. INCONSIDERATION OF APPROVAL OF THE
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 construction during this time period.
X. 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 reference.
3. Ali conditions and Power for Testing" requirements
fulfilled and the premise is rreIn the attached ady for cont mpliance nencceuirements Inspection. 30 Day
4. Ali requests for an extension beyond 30 days must be made In writing to the Building Official meting
the mason for the request Power may be removed from the site and/or a Stop Work Order Issued If
the Final Inspection has not been approved within 30 days. A fee of $100.00 will be required to Oft
the stop Work Order.
SCANNED
BY
St. Lucie County
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS; ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF- ANYTYPPDF NATURE WHICH MAY ARISE.NOW=OR IN THE FUTURE OUT
THIS ACTfON, INCLIJpRJGANYbAMAGE WHICH MAY BE INCURRED DUE TO THE
CIS - NE ON OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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