HomeMy WebLinkAbout30-Day Temporary Power Release- Planning & Development Services
Building & Code Regulaton Division
;:,. 2300 Virginia Ave
Fort Pierce, FL 34982 RF01 O
772-462-2165 Fax 772-462-6443 C
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Request for 30-Day Temporary Power Release AS�'90 s��ly
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Date: 3►11/18 Permit Number: I to Z — G2-4-5
1.
project Address: 3034 NW RADCLIFFE WAY (RIVERBEND LOT # 10)
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECIRICAL 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 construction during this time period.
2. As witness by our signatures, we hereby agree to abide by all terms and condltlom s of this agreement,
including Building Division Policy, which R Incorporated herein by reference.
3. All conditions and requlmmends listed In the attached document entitled'Requlreroents 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 Bullding 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;300.00 will be required toII(t
On 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 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.
GENERAL NTRACrOR SIGNATURE DATE
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ELtICIFRICAL CONTRACTOR SIGNATURE DATE