HomeMy WebLinkAboutREQUEST FOR TEMP POWER RELEASE;5;
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Planning & Development Services '
Building & Code Regulation Division
2300 Virginia Ave
Fort Plercer FL 34982
772-462-2165 Fax 772462-6443
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BY
St. Lucie County
Request for 30-Day Temporary Power Release
Date: A ( Permit Number: 1 S 1I:0 LIN
Project Address: vo Ld5,an Rd Pain, CLI1 f l 3WO
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THE UNDERSIGNED HER REQUEST RELEASE OF ELECTRICAL POWER 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. 7bIs 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 at terms and conditions of this agreement,
Including Building Division Polity, which is Incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled "Requirements fbr 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. the Final Inspection Power
approved within 30 days. A m the fee of and/or100.00 w➢l be requiret ff
the Stop work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANYTYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF VIHIS TRANS ON INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
D ITO OF ICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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CNAINFI2 SIGNATURE DATE