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HomeMy WebLinkAbout30 day power release , 10.28.20SS- 0 �y b� it s Request for 30-Day TLmpor, a ®vyer Regease Date: �� -.-� ��'Z .r�� Permit Number: ©Z - a 6 e) Project Address: S Z / B 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 SYSTEM AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION, IN CONSIDERATION OF APPROVAL REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: SYSTEMS T# l I. This temporary power release is requested For the above stated purpose only, and there will be en occupancy of any type, other than that permitted by construction during this time period. Z• 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 `resting" 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 the Stop Work Order, fee of100.00 will be required to lift WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACT ION, INCLUDING ANY DAMAGE WHICH MAYBE INCURRED AND THEIR EMPLOYEES FROM OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. �fr DA � SIGNATURE CONTRACTOR SIGNATURE aen, 2--C, Z42) zo e Z-0