HomeMy WebLinkAboutPower Release Form Planning 8a. Development Services
Building & Code , Regulation Division
77
COUNTY 2300 Virginia Ave
• b Fort Pierce, FL 34982
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Request for 30 � Day Temporary Power Release
Date : 12/29/2020 Permit Number : 2010-0244
Project Address : Lot 13 - 5178 Armina Place
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 , f
3 . All conditions and requirements fisted in the attached document entitled " Requirements for 30 Day I
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,
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Kevii.n B4rkenhage>n 12/29/2020
OWNER I N E ' { DATE
Joseph 5palt 12/29/2020
GENERA rRAC-TOR SIGNATURE DATE
12/29/2020
ELECT . ICAL CONTRACTOR SIGNATURE DATE t
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