HomeMy WebLinkAbout30 day power release V CEIVE D
Planning & Development S Brvices
Building & Code Regulatioi i DivisiWV 0 3 2017'
2300 Virginia Ave
e e
Fort Pierce, FL 34982 Permitting.Department
772-462-2165 Fax 772-. _ ie County, FL
Request for 30-Day Temporary ,Power Release
Date, Permit Permit Number: 1703-0123
Project Address: 4820 Southwind .Trail
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 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 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$100.00 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 MAYBE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT..
OW SI ATURE DATE
GENEeE CONTRACTOR SIGNATURE DATE
ELECT: CAL NTRACTOR SIGNAT RE DATE