HomeMy WebLinkAbout30-day power release formplanning Development Services
IN
wilding & Code. Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
7'72462-2165 Fax 772-462W6443
III•I 1 i, r I I•.
Date: 12/29/2020 Permit Number:
Project Address: Lot 48 - 5177 Armina Place
2008-0603
THE UNDERSIGNED HERBY 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 heroby agree to abide by all urns 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.
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. Ll1CIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH. MAY ARISE NOW OR YN 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,
Kevin Borl�e�ia��� 12/29/2020
DATE
,oseph 5palt 12/29/2020
GENERA TRACTOR SIGNATURE DATE
12/29/2020
ELECT ICAL CONTRACTOR SIGNATURE DATE