HomeMy WebLinkAboutPower Release 02-04-'21 14:16 FROM- 7728787656 T-794 P0006/0011 F-280
t Pland biMopment Services
Blirilcling a.#ate jtegulatidn Division
;< 2360 AI'' is A
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Fort Pier FL 34982
772,462.2jL6.5 Fax 772 462-6443
Request for 30-Day 'temporary Power Release
Date: N., Perri Number:
Project Address: -Nx, .<- \"�)
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 MLLOWS:
1. This temporary power release is requested for the above stated purpose only,and there wM 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 terrri5 and condi'dons of this agreement,
inciucifng 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.
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 sfte 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(MATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTXCAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER SIG DATE t
GENSVCOINTRACTOR a RE DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE
RECEIVED
FEB 0 5 11111
Permitting cepartmen!
St. Lucie Count,