HomeMy WebLinkAbout30 dayLate: 4-v C y z
Project Address:
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
t for 30-Day Temporary Power Release
Permit Number: 2- O c> Z
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPAkATION FOR A FINAL INSPECTION. IN CONSIDERATIONFDESCRIBED
REQUEST WE HEREBY ACKi OWLEDGE AND AGREE AS FOLLOWS: OF APPROVAL OF HE
I. This temporary power release is requested for the above stated purpose only, and there will be no
occupancy of any �pe, other than that permitted by construction during this time period.
z. As witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement,
Including Building DIvislon 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 €n writing to the Build€ng Official staking
the reason for the request, Power may be removed from the site and/or a Stop Work Order issued IF
the Final Inspect€onj has not been approved within 30 days. A fee of $I00.000 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO BOLD 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 0
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. �
CONTRACTOR SIGNAT RE
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DATE
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