HomeMy WebLinkAboutPower release 02-26-'21 12:59 FROM- 7728787656 T-842 P0003/0007 F-359
W� Planning Development Services
4
Bui#dng &Code Regulab6n Division
J w 23001/ji§inia Aire
Fort Pierce, FL 34,982.
772-462-2165 Fax 772�-462-"43
Requ for 30-Day Temporary Power Rerease
Dane: Permit'Niimber, l�\�
Project Address: C `i`-"���•� �.�
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER M 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 3-HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power roezw is requested for the above star purpose oniy,and them will be no
occ uparicy of any type,other than that permitted by eoramxtim during this time-period.
2. As witness by our signatures,we hereby agree to abide by ail terms and condMons of this agreement,
induding Building Divlsfon Policy,which is ineorporaaieed herein by ret+ enm.
3. All conditions and requirem"lisbW in the attached document entitf6d°Requirements for 30 Day
Power for Testing"have been fulfillEd and the premise is ready for compliance inspection.
4. All requests fnr an exbrnsion beyond 30 days must be made in writing i D 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 lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE.TO HOLD HARMLESS,ST, LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL F DUM rIES 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
DISCONNEMON Of ELECT POWER IN THE EVENT OF VM AITON OF THIS AGREEMENT.
OWNER SIGNATURE DATE'
G>nd CONTRACTOR RE DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE