HomeMy WebLinkAbout30 day power release Planning 8a Development Services
'J '"� } r �'� Building �c Code Regulation Division RECEIVED
2300 V 1.rginia.Ave.: . PEAR 7, 9 1021
a Fort.Pierce,. FL 34,982
ermitting Department
772-462-2165 Fax 772-462-6441 5'L. Lucie County
Requesi for 30-Day Temporary Power Release
Date: Z-bPermit Number: _ 33
Project Address:
THE UNDERSIGNED HEREBYREQUEST 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 permitted 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,
incli ding'building Division Policy, which is incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled"Requirements 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 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 DUETO THE!'
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
N -UR AIL( J.21c)
-- J DAT
GENERAL CO CTOR SIGNATURE DATE
ELECTRICAL CONTRACTOR SIG DATE