HomeMy WebLinkAbout30 DAY REQUEST FOR TEMPORARY POWER RELEASEDate: ;-i--Z-- 2-0I J
Planning '& Development Services Department
B>iAlding fit Cade Regulations Division
SGANWD 2300 vir&ia Av4ue
( @/! Ft Pierce, EK,.34y$2
I � U Phone. 772- 462 2165
Request for 30-Day Temporary Power Release
Powit Number: 13 0 r O Lo
FroJect Address: (: �)/�i j �1�t
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE
ABOVE DESCRIBED PROPEWPY, FOR A PERIOD NOT TO EXCEED 'T`TIIRTY (30) DAYS, FOR
THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
INSPECTION. IN CONSIDERATION OF APPROVAL -OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary pourer 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.
a. 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
4. Testing" have been fulfilled and the plretnlse is ready for compliance inspection.
5. 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 andfor a Stop Work Order issued if the Final Inspection
bar, not been approved withum 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.
,J() L....'
OWNER SIGNATURE 'DATE
%r
GENIERA i, eONTRACt6R SIGNATURE DATE
ATURE
SLCPDSD Revised 06/1412010
z- !
DATE
RECEIVED APR 0-2 2014