HomeMy WebLinkAboutPower Release 05-21-'21 12:24 FROM- 7728787656 T-080 P0001/0001 F-711
3� Planning Sc D+evdapment Services
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_ W1 Bl ildinci bode R guladiii:Division
2300 Virginia Ave.
= Fart Mercer FL 34982
-- 772-462-2165 Fax 772-462-6443
Request for 30-flay Temporary Pourer Release
Date: ����� 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
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUFST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. Ibis temporry power release is requested for the above stated puroose only,and there will be r:o
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,
including Building Division Policy, which is incorporated herein by reference.
3. All conditions and requiremenw 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 wilding 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 4100.00 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 DUE TO THE
DISCONNEMON OF EI..EGTRICAL POWER iN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER SIGNATURE DATE '
;GF- . CONTRACTOR N RF DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE