HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASESI
Planning & Development Services
= = Building & Code Regulation Division
2300 Virginia Ave RECEIVED
• • ` �` Fort Pierce, FL 34982 AUG 2 9 2019
_ 772-462-2165 Fax 772-462-6"3 Permitting Department
St. Lucie County
Request for 30-Day Temporary Power Release SC BY ED
(� St. Lucie County
Date: Permit Number. 7 �' Coh
Project Address: 153 Or K L.A &D ! Adcc= C i JL
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 SYSTET45
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 wi0 be no
occupancy of any type, other than that permitted by construction during this time period.
2. As witness by our signatures, we hereby agree to abide by all terms and conditions of this acreerreM
Including Building Division Policy, which is incorporated herein by reference.
3. All conditions and requirements listed In the attached documert entitled-{tequcemerdsfor 30 Day
Power for Testing" have been fulfilled and the premise is ready for compliance -
4. All requests for an extension beyond 30 days must be made In writing to the Building Offidal 3aEahg
the reason for the request Power may be removed from the site and/err a Stop Work Ober isar d if
the Final Inspection has not been approved within 30 days. A fee of $1oo.o0 will be requires to Eft
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.
SIGNATURE