HomeMy WebLinkAbout30 Day Temporary Power Release 2-13-154t
Planning & Devel�ia el� services
Building & Code Re"gutation Division
2300 Viigania Ave
Fort Pierce,, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day ` emPO -aryPower Release
Date: — Permit NumbO-:
Project Address: _ _
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. Ili CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
I- This temporary power release is requested for the above stated purpose only, and there will be no
occupancy of any type, othar than that permitted by construction during this time period.
Z. AS witness by our signat' Tres, 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 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 staCing
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 clays. A fee of $10o.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 LIABILITIL.
ES 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_
SIGNATURE'...:."
CONTRACTOR
1 - r
91
MEL—RYCONSTRUCTION INC.
RESUDENTIA1, & C0?-1MJCRQAL 4UILDERS
10967 S Ocean Drive FAX COVER
Jensen Beach, FL 34957
Office 772-229-9439
Fax: 772-229-9440
To: ��J
From:
Date:
Pages;
Memo:
Per"
S 4-0-
Thank You
RECEIVED FEB'17 2015