HomeMy WebLinkAbout30 day temp power release � ! l
PlOnni'n Se Devel mefit-$exvices
Boilding &'Code Regulation Division
2300 Virginia Ave
y Fort P[erce, FL 34982
772-462-2165 Fax 772=462-6443
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Requdst for 30-Day Temporary Power Release
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Projed Address:
THE UNDERSIGNED HEREBY RE UF�ST
Q 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
REQUE57 WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. 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 construction during this time period.
2. As witness by our signatui�s,we hereby agree to abide by all terms and concrftns 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. M requests for an extension beyond 30 days must be made in writing to the Building Offloal stating
the mason 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.
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WE HEREBY RELEASE AND AGREE.TO HOLD HARMLE55, ST. LUaE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF TENS TRANSACTION,INCLUDING ANY DAMAGE WHICH MAY BE INCUJE R- D'DUE TO THE
DISCONNECTION OF LUCTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
'OWNER SIGNATURE DATE
`GEN-MgCONTRACTOR. DATE
ZLECI'RICAL CONTRARdR SIGNATURE DATE
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