HomeMy WebLinkAbout30 DAY TEMPORARY RELEASESCANNED
BY
St Lucie County
Date: 2-21-19
Project Address:
Planning & Development Services
Building & Code Regulation Division
2360 Virginia Ave
Fort Pierce, FL 34962
772-462-2165 Fax 772-462-6443
Request for
Temporary Power Release
Permit Number: 1804-0833
2007 NW R4al Fern Ct., Palm City (Harbour Ridge)
THE UNDERSIGNED HEREBY REQUEST *EASE 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 ND 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 tlian that permitted by construction during this time period.
2. As witness by our signatures, a 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 requiremen listed in the attached document entitled "Requirements for 30 Day
Power for Testing" have been ljulfilled 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. PoIWer may be removed from the site and/or a Stop Work Order issued if
the Final Inspection has not ben approved within 30 days. A fee of $100.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO �OLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES 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.
� , C-/0 ow.,s& I Z- 2 r- ZO j
IGNATURE I DATE
'OWNERr7
-s tvb,.r 21 1
N r1ill
CO AMTOR SIGNATURE ATE
ELECTRICAL CONTRACTOR SIGNATURE DATE