HomeMy WebLinkAboutPower Release 06-09-'21 12:12 FROM- 7728787656 T-152 P0005/0009 F-794
T, planning & Development ervices
s 'Iding &Code Regulati rn (Division
2300 Virginia Ave
n Fort Pierce, FL 34982
772-462-2165 Fax 772462-6443
Request for 30-Day Temporary Power
.Release
Dade: ��` ` Fermi Number.
Project Address.:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY,FOR A PERIOD NOT TQ EXCEED THIRTY(30)DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
RE W:sT WE?iBuBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This tenwr4ty poyw release is requeod for the above dialed purpose only,and dwe WIT be no
occupancy of any type,other than tl-ot permitted.by construction during this time period.
2. As witness by our sigretuies,we hereby agree to abide by all terms acid conditions of this agreement,
including Building Division Policy,which is incorporat-ed hereih by reference.
3. All conditiions'and requirements iistLd in the attad ced document entitl6d"Requirements for 30 Day
Power for Testing"have been fulfilled and the premise is ready fbr compliance inspection.
4. Ail requests fvr an extension beyond 3o days must be made in writing tp 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 Slop Work Order.
WE HEREBY RELEASE AND AGREE.TO HOLD HARMLESS,ST. LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIABA TIES 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 ln1'IENT OF VI=TiON OF THIS AGREEMENT.
OWNER DATE ^�
LL\
GEN CON I KACTOit DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE