HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEPlanning & Development Services
Building & Code Regulation Divis' RECEIVED
2300 Virginia Ave
Fort Pierce, FL 34982 OCT 2 2 2019
772-462-2165 Fax 772-462-64 Luc
county, Permitting
Request for 30-Day Temporary Power Release
Date: 10/16/19 Permit Number. / iok
Project Address:
6604 OCALA AVE, FORT PIERCE FL
S4:UdeCanubg
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 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 will 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 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 Day
Power for 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 may be 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 $100.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO
ALL LIABILITIES AND CLAIMS OF ANY
OF THIS TRANSACTION, INCLUDING /
DISCONNECTION OF ELECTRICAL POD
1ARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
IF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
RAGE WHICH MAY BE INCURRED DUE TO THE
THE EVENT OF VIOLATION OF THIS AGREEMENT.
10/19/2018
NER SIGNATURE DATE
10/19/2018
GENERAL CONTRA OR SIGNATURE DATE
&'-Y. W.e 0" Z,'f .- 10/19/2018
SIGNATURE