HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE4
Planning & Development Servk' es
Building & Code Regulation Division RECEIVED
2300 Virginia Ave AUG 2 S 2018
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443 ST. Lucie County, Permikting
Request for 30-Day Teimporary Power Release
Date: �-� �� Permit 'Number• l Z — (7
-Project Address: 5�/ 7. 5`-ca oU''��P2 1%
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 terns 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 jor Day
Power for Testing" have been fulfilled and the premise 1s 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 AGR LD-HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAI F A TYPE OF N RE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS SACTIO C ° G ANY DAMAGE ICH MAY BE INCURRED DUE TO THE
DISCONW ON E POWER IN TH ENT OF VIOLATION OF THIS AGREEMENT.
SIGNATURE
DATE
IN
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