HomeMy WebLinkAbout30 Day Temporary Power ReleasePtainning & Development 'Services
Building -odd Regulation Division
COUNT
2300 wrglnia Acre '
Fort Pierce, F! 34982 of `FrGFo
772-4� -� 5 Fax 7= - A 3 �61•0 c a j
t ��!
Request; for 3 ,-Day Teriippr;k y Power .Release -
Date:�=(7.- Permit Number
1 _1�
Project Address
THE UNDERSIGNED HEREBY -REQUEST RELEASE.OF ELECTRICAL POWER:TO THE ABOVE DESCRIBED
PROPERTY,; FOR A PERIOD NOT TO EXCEED THIRTY (30) :DAY$ fOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FORA FINAL INSPECTION. INCONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE'AS FOLLOWS:
1. This temporary power release'is r uested for the above stated purpose only;,,and there will be no
ot9EUp liCy of'�i�y. ip�,''a ti P"Ihan mat 1 , � t�ns�u�ion during this IiMe period.
2. As witness by our signatures, we herebyagree,W abide-by=all terms and conditions of this agreement,
including Building Divislon Policy, which is'in+corporat6d herein by reference..;
3. All conditions and, requirements listed in the attach6d document entitled "Requinyments for 30 Day
Power for Tesdng" have been"ftiMiled and the premise is ready for compliance "inspection.
4. , Al l requests for an`eAenslon beyond 30 days.musf be: made in writing to the Building Official .stating
file reason for tlle,regw , 'Dower may lae rem vsd .fTPp? ihs sita.,slid/or, a .Stop Work Arder issued'lf
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. 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,.
,.
DISCONNECTION OF ELECTRICAL POWER 1N..THE'EVENf,6VVIOLAT1ON OF THIS' AGREEMENT.',
Iiil T.B fU iDA