HomeMy WebLinkAboutREQUEST FOR 30 DAY TEMPORARY POWER RELEASEv-_ l
Date:
Project ddresv.
Planning & Development Sc
Building & Code Regulation
2300 vrginia Ave
Fort Pierce, FL 34982
772-462.2165 Fax 7724
FEB 15 2019
l:ucie County,
Request for 30-Day Temporary Power Release
Permit Number: Roo -&aaa
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 SYSTEMS
AND HEREBY ACKNOWLEDGE AND AGREE AS EQUIPMENT
ON. CTIFOLIN CONSIDERATION OF APPROVAL OF THE
REQUEST
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 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 for 30 Day
Power for Testing" have been fulfilled and the premise is ready for compliance Inspection.
4. All requests for an ehcbeension beyond 30 days must be made in writing to the Buied from the site and/or a stop lding official
staling
eif
the reason for the request. t P� approved Whin 30 days. A fee of $100.00 will be required to lift
the Final inspection
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL EES
AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
L ISSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DI ON OF ELECTRICAL pQWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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