HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE10/16/201e 13:33 PN PDT
Tta:17724621578 1;ROM:56168809no Page
AW - -o
SCANNED
BY
St-Lucle Ccunbi
Planning & Development Services
Building & Cede Regulation Division RecerveC.
2300 Virginia Acre Oct l
Fort Pierce, FL 34982 1
A
772-462-2165 Fax 772-462' 6443 eS'tang
CUB,
Request; for 30-Day Temporary Power Release
Date: "r � Permit Number: 1802-0549
ProjecrAddress- 26SQ Conifer Drive, Ft, Pierce, FL,
THE UNDERSIGNED HERESY REQUEST RI:LrrASC OF ELECTRICAL POWER 1.0 THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NoT r() EXCI^l-.!] ThIIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION r0R A FINAL INSF'CCTIQN. IN CONSIDI RATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
I. This temporary power r+.lease is requested for the above stated purpose Only, and there will be rid
ocxupancy orally type, ul]lr r than that p=11tted by construct'lorl during tills time period.
71 As witness by Our signOLU'Las, we hereby agrno to ybide by all terms and conditions of this igreernent,
including Building DlVision Policy, which Is Incorporotod herein by referenc,:,
3. All conditions and requirements listed in the attached document entitled "Requirements for 30 pay
Power for Tostlncg" have br;en fulfilled and Uue PI'Mise is raady for rdmpllance inspection.
4. All requests forall ext'en;ion Ooyorid 30 clays must be made In writing to the Building Official slztjng
the reason for the request, Power may hr rerlloye(.1 frorn the sRu andJor a Stop Work Order issued If
the Final Inspection h¢rs not been approved wil:hln 30 days. A fee of $100.00 will be required to lift
the Stop Work Order,
WE HEREV RELEASE AND AGREE TO HOLD HARMLESS, ST, LUCK COUNTY, AND THE�IR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS of ANY TYPE Or- NATURE WHICH MAY ARISE NOW OR IN THC FUTURE PUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGIE WI-(ICI"I MAY Uri 'INCURRED C)UG To THE
DISCONNECTIO1 OF ELECTRICAL POWER IN TIME EVEN'r OF VIOLATION OF THIS AGREEMENT,
-1
DATE
-FEMICAL CONTRACTOR SIGNATURE nerc