HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEFort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30 — Day Temporary Power Release
Planning & Developmer r �ervices
Building & Code Regulation Division
2300 Virginia Ave
RECEIVED OCT of 1015`
SCANNED
St. LuciBY
e County
Date: 16� I � 1S Permit Number: Ig0�1-03�1
Property Address: °La'i 6 SC e O \g (` .
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 EQUIPMENTS
IN PREPARATION FOR FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEGE AND AGREE AS FOLLOWS:
6
1. This temporary power release is requested for the above state purpose only, and there will be no
occupancy of any type, other than that permitted by construction during this time period.
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2. As withess_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 Days . *,
Powerfor 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 maybe 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 will be required to lift the
Stop Work Order. i-
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
ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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SIGNATURE
DATE
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