HomeMy WebLinkAbout30 day power release Phinr�ir 8c Diavilop S+err��+�es .
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'1215.17 1703-0371"
Dake: P'.inllr N,urriber;:
Project Address; 9334 Breakers Row Fort Piarce,FL -3494.5
THE UNDERSIGNED:HEREBY REE U. RELEASE OF ELECtRIGAL POWER TO THE ABOVEM SCR-I
PRaRER71(,`FOR A PERI.0 NOT TO EXCISED TN RTC{30�BAYS, FOR THE PURPOSE OFTASTING-SYSTEMS
AND.EQUIPNIItiVT IN PREPARATION F00 AI•"iNAL INSC E ON;. �.IN•CQNSIDERATZON.OF�APAbO' QF TF'
REQUEST WE hCECtEBY ACICN6VKl1:,IwDOE:-M AGREE AS>=0C.LOWS:",
1.- Thls#einparary=powdr release 1s:requeste _for thoabevesttd"purpoe etly,tt.amned perbfre wilt be m
, terh a s dnytpeo atpembro tnnthisoccupancy of a ri
2 As witness by aur:siconatures;yVe:.hergbyagree:lb eblde by--: terM$W.cohdltlons ofthis d9reement,
includingullding Division Pojil",whieh;ts iricarpoCeted tierela b refererte;
-1 All.cdndti600 and requlrement§listed:to the attached docurnent en stied"Rerluir.e m hts or
30:> ay.
Powerfor°Ce Ling"have".laearl fttifilied and the preiiiCse.:is ready.fnr camp)tance inspecEion "
4. All requests for'ari extensidn beyond 3Q days,must be made in'.wrA- to the eullding i t ficial;stating
the reason for the request power maybe remrved from tlj site endjot'a Stop WarLt Qcder issued:if"
the Ftnil Tnspectlgn.has not WeR approved wlthln 3+O..days Alee of$iilQXG will be Cequirec!to.lift
the Stop 1Nor:.k:flyder..
WE KKR-RELEASE AND AGREE TO HOLD.t�IAI�MLE55,ST L..UCIE:�OEJN?Y`AND'THEIR�NCPLt7Y�ES:FROM
ALL LIAEILITIES AND CW. M OF aNY TYPE OF.NATUI E�UHICFI MAY ARISE NOW QR;IN"THE F11TUI3 OtJ1'
OF THIS TRANSACTION,IhfCLl1DINC�ANY pAMAGE WHICH NIAY BE ItVCURRED DUE TC)°THE"
DISCONNECTION OF ELECTRICAL POWER IN TI C EVE a QF'1/IQI.ATIQN�F THJ$.A R-E8MENT..
..........
O." ER: IG. Al i7a1'1
DATE.
ELECTRI GANTRACTOR SIGiVAfi1JRE; .. _'.........DATE ". ..
1.2-13-'17 12:02 FROM- n Homes 772-692-0155 . -_ T-447 P0001/0001 F-890
„�... Planning & Development Services..
Building & Cade Reguli Lion.Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax- 772-462-6443
Request for 50-Day Temporary-Power. Release
Date: -----1cz�,--13. Permit Number:
Project Address: Ik.i�_o r� (,C) Gr`" �rC.
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 MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER ICsNATURE DATE. _
GENERAL CONTRACTOR SIGNATURE r DATE
/02, �, • /
ELECTRI ONTRACTOR SIGNATURE 'DATE
RE : FL ,,St.
V
rtment
Permit Ly,