HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEDate:
Project Address:
Planning & Development Services Department
Building & Code Regulations Division
2300 Virginia Avenue --3
Ft Pierce, F1.34982 '9/-/
Phone:172-6�25225 ----- tSf -C &-%- --- -
Fax:
Request for 30-Day TemporaryPower Release 001)61
PermitNumber.
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE
ABQVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (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 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 dens period.
2. As witness by our signatures, we hereby agree to abide by all terms aa,d conditions of this agreement, including
Building Division Policy, which is incorporated herein by reference.
3. All conditions and requirements listed in the attached document entit-W "Requirements for 30 Day Power for
4. Testing" have been fulfilled and the premise is ready for compliance ! W.
,spection
S. All requests for an extension beyond 30 days mutt be made in writiar.to the Building Official stating the reason
for the request Power may be removed from the site and/or a Stop Vt,'orlt Order issued if the Final Inspectino
has not been approved within 30 days. A pee of S100.00 will be reglc: ed 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.
SLCPDSD Revised 0611412010 RECEIVED FEB 18 2014