HomeMy WebLinkAbout30 tempIi
IT, Lul C E
COUNTY
L o R I D A
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Port Piercer FL 34982
772-462-2165 Fax 772.462-6443
Date
Request for 30-Day Temporary Power Release
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Permit Number;
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 0; THE
REQUEST WS HERFBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
I. This temporary power release is requested for the above stated Purpose only, and there will be no
occupancy of any type, other than that permitted by corzstructlon 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 Divisiol) Polity, which is incorporated herein by reference.
3. Alf Conditions and requirements listed in the attached document entitled "Requirements for 30 Day
Power for Testing^ have been fuffilled and the premise is ready for compliance inspection.
1. All requests for an extension beyond 30 days must be made in vlhting to the Building Official stating
the reason for the request. Po:ver may be removed frarrr the site and!or a Stop Work Order issued if
the Final Inspection has not been approved within 30 days. A fee of $10D.00 wilt be required to lift
the Stop Wofk Qrder.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST, LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAI,1,1S OF ANY TYPE OF NATURE WHICH MAY ARISE HOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNEC 1ON OF ELECTRICAL POWER IN THE EVEtJ OF VIOLATION OF THIS AGREEMENT.
QW—NEP SIGNATUR—E
GENERAL CONTRACTOR SIGNATURE
ELECTRICAL CONTPACIQR SIGNATURE
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