HomeMy WebLinkAboutPower release 02-26-'21 12:59 FROM- 7728787656 T-842 P0004/0007 F-359
z Y Planning l Dev+6lppment Services
B illd Ong
&. Code Riegulati'an Divisibn
2300 Vi4—nia Ave
Fort plerte,. FL 34982
772-462-2i6S Fax 77Z-"2-6443
Requ for 30-Day Tempdeary Power Release
Date: Permit NUmber
Project Address,
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER'S 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 AGE AS FOLLOWS:
1. This temporary power release is requested for the above stated purpose only,arcd there will be no
occupancy of any type,other than that permitted by construction during this time period.
Z. As witness by our signatures,we hereby agree to abide by all term ar conditions of this agreement,
Including Bolding Div€sion Policy,which is Incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled"Requirements for 30 Day
Power fbr Testing"have been fulfilled and the premise is ready for compliance inspection.
4. Al raquests 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 lift
the 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
DI.SCOMECTION OF E POWER IN THE EVENT OF VIOLA71ON OF THIS AGREEMENT,
OWNER SIGNATURE DATE '
z-
CONTRACI'OR PNI RE DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE