HomeMy WebLinkAbout30 day power release 04-13-'20 13:10 FROM- 7728787656 T-782 P0004/0004 F-912
Pla:rming,mevelopment Services
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Buiiling'&Code Regulation Division
2300:0VInia Ave.'
Fort Pierce; FL 34982
772-462-2165 Fax 7727462-6443
Requestfor 30-Day Temisorary' Pow ar-Release
Date: Permit ii l Der....
Project Address:
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 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 w o be no
occupancy of any type,other than that permitted by eonStruction during this time period.
2. As witness by our signatures,we hereby agree to abide by all terms Arid conditions of this agreement;
Including Building Division Policy,which is incorporated herein by reference.
3. All conditions and requirements listed in the attdc hed document entttled"Requirements for 30 Day
Power for Testing"have been fulfilled'and the premise is ready forcompliance inspection.
4. All requests for an extension beyond 30 days must be made in writing bo the-Building'Official stating
the reason fbr the request Power maybe 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. LUCI:E 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 INCURREp-DUE TO THE
DISCONNECChON OF ELECTRICAL POWER IN THE EVENT OF ViOLA71ON OF T'HIS AGREEMENT.
OWNER SIGNATURE DATE '
MGEMERyC_0:NTRACT0R RE DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE