HomeMy WebLinkAbout30 day power release 04-23-'20 13:54 FROM- 7728787656 T-798 P0002/0002 F-945
11 ' • ' •
Planning:&bevelopment'Servlces
a ; : Building&Code Regulgtidsn Division
. t 2306 Wiiti'nia-Ave
Fort Pierce, FL 34482
772-.462-2i65 Fax 772-462-6443
r etques for 30-Day Temporary.Power Release
Date: Permit Ntimberr,
Project Addr4ass: Qx
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 SYMMS
AND EQUIPMENT IN PREPARATION FOR A FINAL.INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE 11I5REBY 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 construclJon during this time period.
2. As witness by our signatures,we hereby agree to abide by all terms 6hd 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 W the Building Official stating
the reason for the request Power may be rem ioved•'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 Wil 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 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.
OWNER SIGNATURE DATE'
GEN CO fllt N RE DATE r\
ELECTRICAL_CON RACMR SIGNATURE DATE