HomeMy WebLinkAbout30 dayPlanning & Development Services
Building & code Regulation Division
2300 Arglnla, Ave
Fort Pierce.. Fly 34982
.� Fax 7�2-462-64 3
Re uest for 30- Day 'u amnPor a ! 'P0,W t
el» Release
Date:
-- -_" Per ift Number:.:. 2--,r:Dc5 2---- �z� S-
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Prnject Address: 3 7
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER T
o THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD VOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPA TION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: HE
I. This temporary po er release is requested ror the above stated purpose only, and there will be no
Occupancy of any t�Pe, other than that
z. As witness by our siiignatures, we hereby agree to abiconstruction
e by all t msuand cofndit conditions off this agreement,
Including Building IVISion Policy, which Is incorporated herein by reference.
3. All conditions and r qufrements 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 oxtenslon 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
the Finaf inspectfon�has not been approved 'within 30 days. A Fee of $100.00 w111 be required to Lift
the Stop Work order.
WE HEREBY RELEASE AND A�REE TO HOLD HARMLESS, ST. LUCIE COUNT,, AND THEIR EMPLOYEES
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE FROM
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. OUT
OWNER SIGN
DATE/ ---
GEN AL Co CrOR SIGNA RE
CONTRACTOR
C
DATE