HomeMy WebLinkAbout30-Day Temporary Power Releasei
Planning .& DeviAopmeni Services
Building & Code Regulation Division
2300. Virginia Ave
Fort pierce,, FL 34982
772-462-2165 Fax 772-462-6443
Requestfor 30-bay Temporary Power Release
Date: � Permft'Niamber: VUo " \.
Project Address: _ \ Q O�, Q�,� S-
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED -THIRTY (30) DAYS, FOR THE PU"OSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARA17ON FOR A .FINAL INSPECTTON. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS.,
I. This temporary .power release is requested fbr 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 heribby agree to abide by all terms and conditions of this agreement,
including Building Division Pollcy, which is incorporated herein by reference.
3. Ali conditions and requirements listed in the attached document entitled " Requlrements for 30 Day
Power for Testing,7 have been fulfilled and the premise is ready fbr compliance inspection.
4. All requests for an e)dension 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 Flnal'inspection has not been approved within 30 days. A fee of $10d.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, Si'. LUCIE COUNTY, AND THE P, 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 SE INC[1E�D DUE TO THE
DTSCONNEcrION OF EMCTRICAL POWER IN THE E1/ENT OF VIOLATION OF THIS AGREEMENT,
OWNER SIGNATURE
DATE
SIGNATURE ' DATE
R'ECEIVE0 MAY,"9,,.3 2017
68£-d 1,000/ A000d £80-1 999L8LRLL da o0 6u i p l i n8 euuAM -WOaA 90:1 L L L ,- £z-90