HomeMy WebLinkAbout30 day power releasean-n 1119. D.eve#oplmoot- Services
ir9:f1,de. ieg�ita dory Division
A Ve
;AFL .34. 82
7�2-4 2-2'i 5 Fax 772-462-6443
Request for-30-Day Temporary Power Release
Dates: " 0 4'.-�� 1
F • i
7;r,-/
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 pennided' 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 conditions and requirements listed in the attar document entitled "Requirements for 30 Day
Power for Testing" have been fulfilled and the premise is ready for compliance inspection.
4. All requests far 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 Wthin 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 a -AIMS "CIF ANY7YPE OF NATURE WHICH 'MAY ARISE .NOVOR IN THE FUTURE OUT
-OF T'HISIRANSACIION, INC�LUPING ANY'DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.