HomeMy WebLinkAboutPower ReleasePlanning & Development Services
Building & ode Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date., —
Project Address:
Permit Number:
1�1 fay 1 t,
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:
I. This temporary power release i; 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 ter-m; and conditions of this agreement,
including Building Division Policy, which is incorporated herein br reference.
3. All conditions and requirements listed in the attached document entitled and the premise "Requirements for 30 t)ay
Power for Testing' have been fulfilled e is ready for compliance inspection,
4. Ali requests for an extension beyond 30 days must be made in writing to the Building Official stating
the reason for the reqop ituest. Power may be removed from the site andlor a StWork Order Issued
the Final Inspection has rot 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.
c ' `N7 NE�NATURE
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GENERAL COWFOACTQR SIGf
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DATE
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ELECTRICAL CONTRACTOR SIGWAT>JRi:
DATE