HomeMy WebLinkAbout30 day power release :+..X'».•"s.:'. 't✓.+*TJhXh+.:. 4.'•u�1P.:6. Planning &Development Services
Building Code Regulation Division
'C
O 2300 Virginia Ave
IF L • Fort Pierce, FL 34982
Nwµ: 772-462-2165 ' Fax 772-462-5443
Request for 30-Day Temporary Power Release
Date: 5-21-2017 Permit Number: 1703-0062
Project Address: 2005 Nettles Boulevard Jensen Beach, FL 34957
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,
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 slgnatures,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 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 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.ou will be required to rift
the Stop Work Carder.
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 TO THE
DISCONNECTION OF ELECTRICAL. POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
Lz��L
OWNER SIG IDATE
GENERAL CVcoNTOR
AnJRE DTE
ELECTRICAGNATURE DATE
RECEIVED AW-.2 12017
Z0/Z0 30Vd AH-13W IL9LE9VZLL Wd90:01 IloZ/90/L0