HomeMy WebLinkAboutpower releasePlanning & Development Services
Building & Code Regulation Division
2300 Virgi�ia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date ---?' ! 8 2 Z - — Permit Number: 21. ,? 61.S8
Project Address: sus%
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 INSPECTJON. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HERF8Y ACKNOWLEDGE AND AGREE AS FOLLOWS:
1 This temporary pourer release is requested for the above stated purpose only, and there tyiJ be no
r-cupancy of any ttypo?, other than that perfr'Qed by (:on, dEuirr3 this rime period
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2. As witness by our signaru•es, we hereby a;rPE to abide by all terrni and conditions of this agreement,
including Building Division Pohry, which is incorporated herein by reference.
3. 411 conditions and requirement, listed in the attac►Eed document entitled "ReqjiremenLs for 30 Day
Power far Testing" have been fulfilled and the P(ennse is ready for Compliance inspection.
I All requests for an extension t12Yr,nd 30 days must be rnade Into the Budding Official stating
the Finpl Inspection has �mtiny the reason for the request.ravtier maybe removed from the site andre- a Stop Work Order issu:d if
the Stop 4{:ork Order. not hoer approved within 30 days. A fee of'$ 100 04) will be required to lift
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNPI', AND THEIR EMPLOYEES FROtd
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING AtdY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT
I\
SIGNATURE
2 _1 B
DATE
GENERAL CONTRACTOR SIGNATURE Z' ^ /7
D4TE
ELECTRICAL CONTRACTOR SIGNATURE Z - 1 9
DATE