HomeMy WebLinkAbout30 day temp power release I.
Planning 8E Development Services
Buiftling &Code Regula�ian Division
2300 Virginia Ave
Fort'Pierce, FL 3082
772-462-2165 Fax 772=462.6443
Request for 30-Day Temporary Power Release
Date: limit,Ntimber:
Project Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DE.SCRMED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY(30) DAYS, FOR THE PURPOSE OFTESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL.INSPECTTON. IN CONSIDERATION OF APPROVAL OF THE
REQUEST VIBE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested f r the above stated purpose only,and There well be no
occupancy of any type,other than that permitted by construction during this time period.
2. As witness by our signatui-es,we hereby agree W abide by all terms and conditions of this agreement,
including Building Division 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 in writing to the Building Offldal stating
the reason for the request. Power may be removed from the site and/or a Stop Work Order issued if
the Hnal'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 LIABY rms AND.CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION,'INCLUDING ANY DAMAGE WHICH NlAY BE INCURRED DUE TO THE
CDI,SCONNECnON OF ELECTRICAL POWER IN THE EVENT OF WOLA"nON OF THIS AGREEMENT.
OWNER SIGNATURE DATE
OV,
+CONTRACTOR RE DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE
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