HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE_T
Planning & Development services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date: 1 la
Project Address:
Permit Number:
at, LuCii
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER T6 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 CONSIDERAnON OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above staled purpose only, and there will be no
occuparuy Of any type, other than that permitted by Construction during this time period.
2. As witness by our slgnatUres, we hereby agree to abide by all terms and conditions of this agreement,
indudmg Building Divmon PON* which is incorporated herein by reference.
3. All conditions and requirements listed in the attached document entitled "Requirements far 30 Day
Power for Testing" have been fulfilled and the premise is ready for Compliance inspection.
4. All requests for an extensio beyond 30 days must be made in writing to the Building Otfiidal slating
the reason fbr the request" Power may be removed from the s'te and/or a Stop Work Order issued if
the Final Inslxxti n has no been approved within 30 days. A fee of $100.00 will be required to lift
the Stop Work Order. I
WE HEREBY RELEASE
ALL LIABILITIES AND
OF THIS TRANSACTIC
DISCONNECTION OF
l HOLO HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
(TYPF OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
ANY PAMAGE WHICH MAY BE INCURRED DUE TO THE
W IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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