HomeMy WebLinkAbout30 day power release planning Development wises
J. Cods
Building a RequlaVlon Division
2300 Virginia Ave
Fort Pierce, FL 34982
772p4 -216 Fax 772-462-6443
Request for 30-Day Tempomy Power Release
Date: tv Pert-nit Number: 050
Project Andress: 950r3 b1 Gt��c�-
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. ibis 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.
Z. 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
Posner 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 Pee of$100.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNT Y, AND THEIR EMPLOYEES FROM
ALL LIABILI i LES AND CLAIMS OF ANY 1 YPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
4F THIS TRANSACTION INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
D S ONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLA-EON OF THIS AGREEMENT.
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04 SIGNATURE DArr
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GEN RAL C TRACTOR SIGNATURE DATE
ELECIRICAt NTRACTOR SIGNATURE DA E
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JUL 2 0 2017