HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE4A �
Planning .tbevelopment Services
Building &�'Code Regulation Division RccErvEa
2300 Virginia. Ave .
Fort Pierce, FL 34.982 FEB 0 41019
772-462-2165 : Fax 772-462-64WI�;�i� u Yenr
Request for 30-Day Temporary Power Release
Date: Q_ Q Permit' -fiber: /`60 b 001
Project Address: 10 l3
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 lJe removed from the site anal/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
A,LL 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.
OWNER.
DATE
DATE
ELECTRICAM NIA ACTOR SIGNATURE DATE