HomeMy WebLinkAbout30-Day Temporary Power Release„Planning 4L Development Services
Building & Code, Regulation
Division
23.00 Virginia Ave
Fort Pierce, FL 34982
112-462-2165 Fax 772-462*6443
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Request f6r.30-Vay Temporary Pow Rel
er, ease
Date: 3/13/17 -0 Y//
Permit Number.
Project -Addres5: .3108 NW Radcliffe Way, Palm ,City, FL 34990
THE UNDERSIGNED HEREBY REQUEST RELEASE . OF ELECTRICAL POWER TO THE. ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED (30).DAYS,
D FOR THE PURPOSE 0FTESTING SYSTEMS..
AND EQUIPMENT M.TI
QAPMENT IN PREPARATION FOR A..FINAL INSPECTION. IN CONSIDt ON . OF�A I PPROVA OF THE
REQUEST WE HEREBY ACKNOWLEDGE AN' L
D AGREE AS FOLLOWS:
1. This temporary power release is requested for the above statedpurpos6 only, and there will I be no
occupancy of any -type, other than that permitted by construction during this time period.
2. As witness by our signatures,
we hereby 6qree to abide.Oy all terms and;
conditions of this agreement,
including Building Division Policy,, which is incorporated herein by r6ference'.'
3. All conditions and requirements 'lis
ted in the attached document entitled "Requirements for 30 Day
Power".for Testing” have ' been fulfi' lied and the premise is. ready- for compliance inspection.
4. All requests for an extension beyond 30 days must be mad
e in writing to the Building Official stating
the reason for the request. Power May be removed from the Site a nd/oi a Stop Work Order issued i . f
the Final Inspection has not been approved within.' e 0 $10',0.00 Will be required to lift
prove 30 days. A fee . f
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LyaE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF' NATURE WHICH MAY ARISE INOW 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 OFTHIS AGREEMENT.
iL,r% 1 �7
[L.�
DATE
l� /17