HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEF `
BY
ePlanning & Dve°lopmeli1iR Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-402-2165 Fax 772-46276443
Request for 30-Day Temporary' Power Release
Date: / 7 i Permit Number: /5-06 J O L1 73
Project Address: 33,S-y /BVGr/ AD PI+I R CYTk, F.L- 3 2990
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 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 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 AGREE TO HOLD 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.
O,�OER SIGNATURE DATE
LLL
ZZ7 12,0-17
GENERAL CONTRACTOR SIGNATUR. DATE
SIGNATURE
,c�?.7/�2
RECEIVED
NOV : 8 :017
Permitting Department
St. Lucie County, FL
Planning &
Building & i
2300 Virgin
Fort Pierce,
772-462-21
Request for 30-1 ay
Date: c7 l
Project. Address: 335
THE UNDERSIGNED HEREBY REQUEST RELEASE OF E
PROPERTY, FOR A PERIOD NOT TO EXCEEDi THIRTY
AND EQUIPMENT IN PREPARATION FOR A FINAL INS
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE.A
1. This temporary power release is requested for
occupancy of any type, other than that permitt
2. As witness by our signatures, we hereby agree
including Building Division Policy, which is incoi
3. All conditions and requirements listed in the at
Power for Testing" have been fulfilled and the,1
4. All requests for an extension beyond 30 days n
the reason for the request. Power may"be rem
the Final Inspection has not been approved wit
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLE
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATL
OF THIS TRANSACTION, INCLUDING ANY DAMAGE Vl
DISCONNECTION OF ELECTRICAL POWER IN THE EV
4--
SIGNATURE
L. - �
CONTRACTOR
welopment Services
de Regulation Division
Ave
.34982
Fax 772-462-6443
Power Release
Number: f��d
eyV-v. F/ 3zy990
ECTRICAL POWER TO THE ABOVE DESCRIBED
0) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
CTION. IN CONSIDERATION OF APPROVAL OF THE
FOLLOWS:
above stated purpose.only, and there will be no
by construction during this time period.
abide by all terms and conditions of this agreement,
rated herein by reference.
hed document entitled "Requirements for 30 Day
mise is ready for compliance inspection.
t be made f writing to the Building Official stating
ad from the site and/or a Stop Work Order issued if
130 days. A fee of $100.00 will be required to lift
ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM.
WHICH MAY ARISE NOW OR IN THE FUTURE OUT
:H MAY BE INCURRED DUE TO THE
OF VIOLATION OF THIS AGREEMENT.
DATE
// DATE
f I_ /�2
SIGNATURE I - / /BATE