HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELASEIVW2019 12:48
10/31/2019
7724605 ' BEAN DRYWALL,IN�
CANNED
PlaBY
nning &%levelopment Services
Building. & Code Regulation Division
2300 .Virginia Ave
Fort :Pierce, FL 34982
772-462-216S . Fax 772-462-6443
Request for 30-Day Temporary Power Release
Permit Number: #1808-0219
Address: 257-259 DrXIELAND DRIVE FORT PIERCE, FLA. 34982
PAGE 01/03
E UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
�PERTY, FOR PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE. PURPOSE OF TESTING SYSTEMS
D EQUIPMENT IN PREPARATION. FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
QUEST 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 construOlon 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 $10.0.00 will be required to lift
the Stop Work Order.
HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
LIABILITIES -AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE. FUTURE OUT
THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
;CQb1KCrION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
. 10/31/2019
:�R Nam( DATE
r 10/31/2019
ENERAL T R SIGNATURE DATE
10/31/2019
,�LECTRI ' L CONTRAcrdlp, SIGNATURE. DATE