HomeMy WebLinkAboutREQUEST FOR 30-DAY FOR TEMP POWER 07-14-'21 15:35 FROM- 7728787656 T-232 P0001/0005 F-910
n. Planning• •Development Services
- Building &Code•Regulation Division
2300-Virginia Ave
fort Pierce, FL 34982
772-462-2165 Fax 772 462-6443
Request'for 30-Day Temporary•Power•.Release
Date: Permit 1qumber.
c
Project Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY,FOR A PERIOD NOT TO EXCEED THIRTY•(3.0) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN•PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACICN'OWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above stated purpose•only,and there id be no
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 requirements listed in the attached document entitled'*Requirements for 30 Day
Power for Testing"have been fudfilled'and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be made in writing to the Building Official stating '
the mason for the request:. Power maybe 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 Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS,ST. WCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY 7YPF-OF NATURE WHICH MAY AR
ISE NOW OR IN THE FUTURE OUT
OF THIS TRANSAGTiON, INCLUDING ANY DAMAGE'WHICH MAY BE INCURRED DUE 70 THE
DLSOWlECTION OF ELECTIti OWER IN THE EVEN!'
OF VIOtAlION OF THIS AG
REEMENT
OWN1;R SIGNATURE DA '
1
G !MMCr6R RE DATE
-
ELECTRICAL CONTRACTOR DA SIGNATURE TE
.