HomeMy WebLinkAboutPower Release (2) 02-04-' 21 14:16 FROM- 7728787656 T-794 P0005/0011 F-280
Planning -&66Aopment Services
Bt>tildin� &6*d' It utafion Division
2306-11irgi'nis Ave RECEIVEo
9 Fat#Pierce, FL492 FEN 0 5 2021
772,-462-2165 Fax 772;462-6443 PermittingDe�l art
S• Lucie Countyent
Request for 30-Day Temporary Power Release
Date: ` �`'� �� \ Permit Number,
Project Address.: �Q ��`CC i��CC� ;—:
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 reiease 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.
3. AJI conditions and requirements listed in the attached document entitled"Requirements for 30 Day
Power for Tesbng"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 fift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCTE 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.
OWNER SIG DA17:
GENT CONT#2ACTOR N RE DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE
RECEIVED
FEB 0 5 2021
Permitting Cepartment
5t, Lucie county