HomeMy WebLinkAbout30 Day Temporary Power Release05/24/2016 8:49 AM FAX 7724663765�
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APPLEBEE ELECTRIC 0001/0001
<TVE)MAY 24 0010 091"/
Planning.& Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fork Piero, . FL 34982
772-46'2-216S Fax 772-462-6443
Request for 30=1)ay Temporary Power Release
Date: 05/20/2016 Permit Number; 9 503-0510
Project Address; 3200' ST. LUCIE BLVD., FT. PIERCE, FL
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 INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. • This Wrnoprary. power release is regt�e3ted far the above staked purpose only, and there will be no
occl ncy of;aiiy lype.akher than tf9at Nrmftted,by construction during this time period.
2. ' !.s'wifisss 17t"'a _ Ats4tures, we }tereby agree to ,abide by all terms and conditions of this agreement,
.Iricl'itdirg.00lldlflg Ojv,'Won Policy, whicfi is.iricorporated herein by reference.
;.. ,....
3.. AA coWldoris. anti requlrements,RsW in the attached document entitled "Requirements for 30 Day
Power for Testing" have been fulfilled *and the premise is ready for,eompiiance inspection.
a. All requests for an extension beyond 30 days must be made in writing to the Building Official stating
the reason for the request; power may be removed frbm 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 5tdp.'Wgrk.order,
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCC COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH. MAY ARISE NOW OR 4N THE FUTURE OUT
OF THIS ' CTI ° N, INCLUDING ANY DAMAGE WHICH MAYBE INCURRED DUE TO THE
DI ELEC MICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
"Y DATE` :231f 6
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DATE
0512=a16
RECE1 QED MAY
05/20/2016 3:45 PX FAX 77246637-1,5 APPLEBEE ELECTRIC
[a 0001/0001
Planning & Development Services.
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-216S Fax 772-462-6443
Request for 30-Day Temporary Dower Release
Date: 05/20/2016
Project Address:
Permit Number:
1603-0510
3200 ST. LUCIE BLVD., FT, PIERCE, FL
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 INSPECTION. IN, CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above stated purpose only, and there will 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'Buliding 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 fulfilled 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 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 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 LIABILMES 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 IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER SIGNATURE DATE
NERAL CONTRA SIGNA RE DATE
05/20/209 6
EL ICAL CON CT GNATURE DATE