HomeMy WebLinkAbout30 dayDate: �/7-- z--1z-a
PrOJect Address: 3
? Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
FOrt Pierce,, FL 34982
772-462-2165 Fax 772-462-6443
for 30-Day Temporary Power Release
Titer „-
Permit Number: ?— — co-"
THE UNDERSIGNED HEREB� REQUEST` RELEASE OF ELECTRICAL POWER TO HE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD " OT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING
AND EQUIPMENT IN F'REPA
TION FOR A FINAL INSPECTION. IN CONSIDERATION OF A S-U
REQUEST WE HEREBY ACK OWLEDGE AND AGREE AS FOLLOWS: SYSTEMS
AL OF THE
I. This temporary po�er release is requested for the above Stated u
occupancy of any �Pe, other than that permitted by constructiondruAring thiOse s time Pe Lod will be no
2. As witness by our gnatures, we hereby agree to abide by all terms and conditions of this agreement
Including Building Nisfon PAcy, which Is Incorporated herein by reference.
3. All conditions and r quirements listed In the attached document entitled "Requirements for 30 Day
Power for Testing" have been fulfliled and the premise Is ready For compliance Inspection.
4. All requests For an xtension beyond 30 days must be made In writing to the Building Official stating
the reason for the r quest, Power may be removed from the site and/or a Stop Work Order Issued if
the Final Inspection has not been approved Within 30 day,'.
the Stop Work Order. Y A fee of $I00.00 will be required to lift
WE HEREBY RELEASE AND A�RlWE TO HOLD HARMLESS, ST. LUCIE
ALL. LIABILMES AND CLAIM OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN
THE OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY B COUNTY, AND THEIR EMPLOYEES FROM
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOL.AiTON INCURRED
AGREEMENT.
FUTURE OUT
,,11� EVENT.
CONTRACTO-R