HomeMy WebLinkAboutRequest for 30-Day Temporary Power Release07/ 01 /2015 16: 06 7728787656 `,
WYNNE BUILDING CORP PAGE 03/03
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pilerce,, FL 34982
772-462-2165 Fait 772-"2- 3
` Request for -30-pay Temporary Power Release
Date: `lam Permit Numbe . : .M-r
Project Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELEC1rRICAL POWER TO THE ABOVE DESCMED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A KNAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
I. This tOnporary Gower release is requeMd for the abM stated purpose only, and here will be M
occupancy of any We, O ter than that permitted by construction during this time period.
2. As witness by our signatl res, hereby agree to abide by all tBrms and Conditions of this agreement,
including Building tXvlsion Poi! , which is 1nwrpomted herein by refemoo.
3, All Conditions and requtremen listed In the attached document entitled "Recluimmenfs for 30 Day
Power for Testingv have been Ifilied and the premise is rely fbr compliance Inspection. .
4. All requeo for an exterrJon nd 30 days musk be made in writing to the $wilding Official stating
the reason for the requesC. } may be removed from the site and/or a Stop Work Order issued if
the Final Inspe0t has n baen aAAroved within W days, A fee of $100.00 will -be required to lift
the Stop Work Order. j
WE HMILOY RELEASE AN E TO LD HARMLEW, S . LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIASIE MES AND 5 F ANY E OF NATURE WHICH MAY ARISE NOW OR IN THE Ft, TUfIE OUT
OF THLS CTT0 UDI N Y DAMAGE WHICH MAY BE INCURRED DUE TO THE
DI=NNECTI N OF SAL P ER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
f DATE
IRE QATE
RECEIVES I
RECEIVED AUG 10 Zql�
LM-J L000/ 00d 89£-1 999L8L8ZLL da o0 6u i p 1 i n8 auuAM -Woaj L9:80 9 L0 L-80
OCT-12; 2016
wpm Planning & Development Services Department
Building & Code Regulations Division St. L�COUNTY ''Lf'? `
2300 Virginia Avenue
• R I ' A Ft Pierce, FL 34982
Phone: 772- 462-2165
Fax: 772-462-2522
Request for 30-Day Temporary Power Release
Date: % ��3 ��� Permit Number: 14062 —
Project Address: /4Cr (9 GU,*T�5o,,y6 1A
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 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.
3. All conditionsand requirements listed in the attached document entitled "Requirements for 30 Day Power for
4. Testing" have been fulfilled and the premise is ready for compliance inspection.
5. 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 Mnal 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 FROMALL 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
ELECTRICA"OWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
SIGNATURE
SLCPDSD Revised 06/14/2010
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