HomeMy WebLinkAbout30 Day Temp Planning &Dev lopment Services
' �- Building & Code Regulation Divisidn
2306 Virginia Ave
Fort 1PierW, FL 34082
772-462-2165 Fax 772;-461-6443
Request for 30-Day Temporary bower Release
Date,. Q �. 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 OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
I. This temporary power release is requesW for the above stated puupose only,and there will be no
occupancy of any type,other than 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 fisted in the attached document entitled"Requirements for 30 Day
Power for Tessting"have been fulfilled'and the premise is ready for compliance 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
the Final Inspection has not been approved within 30 days. A fee of$100.00 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 DUE TD THE
DISCONNECT.CON OF ELECMCAL POWER.IN THE EVENT OF WOLATION OF THIS AGREEMENT.
• Q.
OWNER SIGNATURE IRATE
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'GENERX06NTRACTOR DATE
:ELECTRICAL CONTRACTOR SIGNATURE DATE �
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ECEIV ED SEP 19.1017
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