HomeMy WebLinkAboutPower Release 02-04-'21 14:18 FROM- 7728787656 T-794 P0009/0011 F-280
Planning & Development Services
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Building & Code Regulation Division
�, 2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 77Z-462-6443
Request for 30-Day Temporary Power Release
Date: Permit Number: 2 S r
Project Address:
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 conduction during this time period.
2. As witness by our signatures,we hereby agree to abide by all berms and conditions of this agreement,
including Building D,iMsion Policy, which is incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitik!d"Requirements for 30 bay
Power for Testing"have been fulfilled and the premise is ready for compliance inspection.
4. Ail requests for an extension beyond 30 days must be made in writing to the Building Official stating
the reason for the request. Power maybe 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 LIABILI' ES 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 SIGNATURE DATE
GEN CONTRACTOR-58NA7dRE DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE