HomeMy WebLinkAboutPower releaseST. Lucl,E
COUNTY
F 1 0 R I 0 A
Planning & Development Seiwlees
Building & Code Regulation Division
2300 Virgl�la Ave
Fort Pierce, FL 34982
772-462.2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date: �z
Permit Number;
Project Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS; AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL f�F ThIE
I. This temporary power release Is requested for the above stated purpose only, and there will he no
occupancy of any type other bran that perrnitted by construction durin�t3 this time pms and conditions of this agreement,
eriod,
2. As witness by our signatures we hereby agree to abide by all ter
including Building Division Policy, which is Incorporated herein by reference,
3. All conditions and requirements listed In the attached doc:Ument entitled "Requirements for 30 r)ay
Power for Testing" have been fulfilled and the premise is ready for compliance Inspection,
1. 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 req�dred 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
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
'NE�P_SI,NATURE
DA
GENERAL CONTRACTOR SIGNATURE
[LATE
ELECTRICAL CONTRACTOR SIGNATURE DATE