HomeMy WebLinkAboutREQUEST FOR 30 DAY TEMP POWER RELEASEPlanning & Development Services 111:�- Building & Code Regulation Division M4? p
2300 Virginia .Ave 91019
Fort Pierce, FL 34982 § b�9 e d
772-462-2165 Fax 772-462-6443 �bq�ment
Request for 30-Day Temporary Power Release SC NNED
BY
Y
St Lucie Count
Date; '�` �,��/�' Permit Number: � � �� _ 6,� 8� Y
Project Address: 1 53j S. —1
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 herP',. �y reference.
3. All conditions and requirements listed in the attaclieo occurrent euooeo Kequirements for 30 Day
Power for Testing" have been fulFllled and the premise is ready for compliance in•.Nection.
4. All requests for an extension beyond 30 days must be made in writing to the Building Oftiaai staui,y
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 Iift
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.