HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEl
Planning & Development Services
Building:& Code Regulation Division
2300 Vkginia Ave
Fort Pierce; FC34982
772-461 165. F*772-Mil-644
Request for 30-Day:Temporary.Power Release SCANNED BY
Date:: -V —1 _ Permit Number: 1469q- t*1C:2 St' Lucie County
Project Address: 2Sd6 fPi lAetneD Q21 1PQ2T 1ELcmK.t
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE. ABOVE DESCRIBED
PROPERTY,,FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR'THE PURPO5E OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE J
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporaryf power release is requestedfor the above stated purpose only, nd there will be no
o=pancy or any type, other than OW permitted by. construction during this tare period.
2. As -witness by: oursignatures, we hereby agree to ablde by all terms and condkans or this agreement,
including Building DlvisloroPolicy; .which is Incorpoiated herelnby reference.
3. A0 condtions and requirements listed in the attached document entitlea "Regw. ements for 30 Day
Power for Testing- have been fulfilled and the'premisa.Is ready forcomp.iance Impaction.
4. All requests for an extension beyond 30 days must be made in writing -to the & Ading Official stating
the reason for the request. Power may be removed from the site and/or a StCJ Work Order Issued If
the Final Inspection has not been approved within 30 days. A•foe of g':]0.00 ,y01 be required to Uft '
the Stop Work Order.
WE HEREBYRELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY. -AND THEIR EMPLOYEES FROM:
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF•NATUREWHICH MAY ARISE NOA OR IN THE FUTURE OUT
OF THIS TRANSAC 10N,INCLUDING ANY DAMAGE WHICH MAY BEINCUR9EQ DUE TO THE
DISCONNECTION'OF ELE CAL POWER IN THEEVENr OF VIOLATION OF THIS AGREEMENT.
OWNERSIGNATURE DATE
RECEIVED APR 18 2017