HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEPAGE 02/03
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BEAN DRYWALL,INJ%
Plannifig & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772=462-6443
041,
Request for 30-Day Temporary Rower Release
Date'., -October 31, 2019 . Permit Number, #1810-0711
Project Address: 261-263 DIXZELAND DRIVE FORT PIERCE, FLA, 34982
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 dud rig 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.
j 4. All requests for an extension. beyond 30 days must be made In writing to the Building Official staring
j 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 requlred 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 13E INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
G DATE
10/31/19
GENER I1L C Cr R SIGNATURE DATE
10/31/19
ELECTRI L CONTRACTOR SIGNATURE DATE