HomeMy WebLinkAbout30 day power release Planning&bevOlopinefit.Services
Building&Code Regulation Division
" COUNTY
2300 Virginia Ave
• ,Fort Pierce, FL 34982
772-,462-2165 Fax 772-462=6443
Request for 30-Day Temporary Power Release
Date: Permit Number: 1909-4537
ProjectAadress: 1545 Pulitzer Road Fort Pierce, FL 34945
THE UNDERSIGNED HEREBY REQUEST RELEASE.OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY;FORA 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 OFTHE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS.
1, This temporary power release is requested for the above stated purpose-only,and,there:will be no
occupancy of`any type,otherthan 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 lid in the attached document entitled- Requirements for,30 Day
,Power for Testingo have been fulfilled-and the'premise is ready..for.compliiance 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. Power may be removed from the site and/or a Stop Work Order issued if
e Fi thnal Inspection has not beea approved`within 30 days. A fee of$1W.00•will 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 DIIE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
j �7
OWNER SIGNATURE DATE
Digitally signed by Jafed,Modine
Jared Modine Date:2020.03.3010:39-55-04'00'
G80 NTRACTOR SI DATE
DATE
CONTRACTOR SIGNATURE