HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE Planning &_Development Services
� = � '� ..° Building &Code Regulation Division
COUNTY -
230.0 Virginia Ave
Fora;.Pierce, FL 34982
772-462-2165 Fax 772-462-6443
f Request for 30-Day Temporary Power Release
Date: 7-1-2020 Permit Number: 1812-0362
Project Address: 4500 W Midway Road Bid. B
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 EQUIPMENT IN PREPARATION FOR A FINAL.INSPECTION. IN CON51DERA1ION OF APPROVAL OF THE
REQUEST WE-HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS-
I. 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 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 mustbe made In writing to,the Building Official stating
the ran for-the request. Power maybe-removed from,the.5ibeznd/or a$top.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 HOW HARMLESS,ST.,LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS.OF ANY`i'YPE.OF NATURE.WHICH MAY RISE:NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDINGMY.DAMAGE WHICH.MAY BE INCIJRRED DUE TO THE
DISCONNECIION OF ELECTRICAL POWER IN-THE.EVENT OF VIOLA7ION.t7F THIS AGREEMENT.
OWNER SIGNATURE 7
DATE,
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GENERAL CONTRACTOR SIGNATURE DATE
Sr �i �,
ELECTRICAL.CONTRACTOR SIGNATURE DATE