HomeMy WebLinkAbout30 day power releasePlanning & Development Services
Building & ICode Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date: �_r �I-- Permit Number;
Project Address: QED eel-) S i ` ----- --- — - --
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRI9EU
PROPER-Y, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQ„rIPMEN T IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROV,;L OF TFiE
REQLiES- WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
-`+is ter',1N.-aiV power release is requested for the above stated purpose oniy, and there will be no
o:::; panC� of any type, other than that perrnitted by construction during this time period.
As witness try our signatures, we hereby agree to abide by all terms and conditions of this agreement,
+^ciuding Building Division Policy, which is incorporated herein by reference.
4I! condit;ors and requirements listed in the attached docurnent entitled "Requirement for 3r) Day
Powe- `or Testing" have be=n fulfilled and the premise is ready for compliance inspection.
Al, -equestt for an eytension beyond 30 days must be made in writing to the Budding Official staring
tt-,e reason for the request. Power may be removed from the site andior a Strip Work Order issues if
t`� Final Inspection has not been approved within 30 days. A fee of $100.00 will be require(,, tc t:f-
_^e Stop 4Vvark Oroer.
VVE HER-EBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMP_OYEES FR&4
A� LIAE]LITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS 7RANSACTICN, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
OISCONN_C 1TG1� OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT
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DATE
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GE-NERAL C(JrvTPACTpR SIGNATUP.E ---r
DATE
ELECfRI�L CO'NTFACTOR 51-,NATIJRE
DATE �'""�