HomeMy WebLinkAbout30 Day Temporary power Release1
Planning Development ertdcfrs
Building Code Regulation D"IVAS'Doll°e
2300 ' arg1nia Ave
Fort Pierce, FL 34982
772- 6 -216.15 Fax 772a4-2-6443
Request for 30.-Day Tempoowy Poweryltegease
Date: % Permit Numbe f°..�
Project Address: 4?12 �� 3kll /YZ .J 0 V
THE UNDERSIGNED HERE -BY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROLFER?-{, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR. A FINAL INSPEMON. 1N CONSIDERATION OF APPROVAL OF T HE
REQUES f' WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporaty power release is requested for the above stated purpose only, and here will be no
0cf-11Nancy of any t 1pe, other than that permitted by construction dt!ring Phis time period.
2. As witness ly our signatures, loie hereby agree to ab€de by all terms and conditions of this agreement,
including Building Division Pofir f, whim is incorporated herein) by reference.
3. All conditions and requhemen% € - ed In ft i ttacherj document entitled "Requirements for 30 Day
Power for Test ng" have. been fuliyiied and the prern€se is ready for compliance inspection.
4: All requests for an extension beyond 30 days must: be made In writing to iiie Building Official stating �
tine 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 veithin 30 days, A fee of $300.00 will be mq,fired to lift
tfte Stop Work Order.
WE HEREBY RELEASE AND .4C:R-EE1 TO 1101_D HARMLESS, ST. LUCIE COUWrY, AND THEIR EMPLOYEFS r-Rom
ALL LIABILITIES AND O AIMS.•GF AftY TYPE OF KtATt3 cE WHICH KAY ARISE NOW OR IN THE FLIT"JAE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WI-BpCH MAY BE INCURRED DUE To THE
DISCONNEMON OF ELEC � RICAL POWER IN THE EMP, OF VIOLK ION OF THIS AGREEM-ENT.
OWNER Slrfllh JRE DATE...,
_% 7 /
;7 GENERAE. CONfRACt•OR SIGN RE v ..... � DAl'- �. ..�.
RECEIVED JAN.25-2016 9'