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HomeMy WebLinkAbout30-day Temporary Power Release RequestI Iun�F.#9;8a'�?.e�elQpmeni( &starless l�lWi i; s41e=[ gu[is Division 11 i` l erge aAL 4982 7y2-482�Z 8. Fax 772-462-6443 k Request for 30-Day Temporary Power Release 04/10 . Date: _ .5=1-909t, Permit Number: �REa-L Project Address: I I l � J \ LNV C )CUL0 QS \nrt Y,:ea P J.-.O� 45 mocci�t�5:de'�,\sc�'Bcee2E5 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 Polley, 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 beercfulfilled 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.HElREBY RELEASE AND AGREE TG HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS! ANY'TYRE:OF NATURE WHICH MAY ARISE.NOW OR IN THE FUTURE OUT OF THIS twtACFIONr INCLUDINGG ANY•DAKKE WHICH MAY BE INCURRED DUE TO THE nrSLY, mwi CTION DE-ELEGiR &L POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. 6