HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEplanlitn' & en
g . D6vilobiticiat Se -Aos Deparfift.
Building & &de - . , Regit ' 19fion.9A DIODo
2300 Virginia Avenue
Ft Pierde, Fl, 34982
Phone; 772- 462-2165.
FaN..772-462-2522
Request for 3061Dq. Temporary PoWer Release
D;Ffte.- 20& 7-
Project Addkess:
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 FINAL
INSPECTION, IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS;
temporary power i*leiige, is requested' tor!hg'abovei stated pUtppo-ohly,'and there will be no occlupaney
'I p
typ_, by
that lijkftdqe0,bytoMtrubt16nduring this time period.
2. witness
y our
L % sigfiatureswe hereby agreetoahlde.by all terms and conditions, of this ggreiDmejit, Including
Building Division Policy, which is i pibqtporated herein
3. All-conditiong and requirements liskil in the attached document entitled IlRequimments for 9.6 Day Power for
4. Testing" have been fulfilled and the premise is ready.for tovipliance inspection.
5. All requests for'git-extension beyond 30 days must-bemade in writingsto the Building Official stating the reason.
for; the request. Power inay besemoved from the she and/or a Stop Work Order issued,if the Final Inspection
has not been approved within 36 days..A fee of $100.00 will he required to lift the Stop Work Order
' WE HEREBY RELEASEAND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND"
TMR EMPLOYEES "FROM ALL LIABILITIES AND "CLAIMS '6F ANY TYPE OP N'A'TYjR'.'E
WH m ARISE NOW ORIN 1= Ica MAY OUT HIS TRANSACTION; INCLUDING -
ANYDAMAGE, WHICH MAX BE INCURRED DIM TO THE DISCONNECTION OF
ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.