HomeMy WebLinkAbout30 day power release 12-10-'20 15:43 FROM- 7128787656 T-621 P0010/0010 F-048
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_ 0J '1ginia Ame,
' tart Piece FL 982
7.7 2JL;65. Fax 772L462- 3
Requd§t�fbir 30-Wiy-Ternparai' P
dwer Retease
PetTffit'Nihmber:
Project Address:
THE!UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTR-ICAL POWER f0 THE•ABOVE DESCRIBED
PROPERTY,FOR A PERIOD NOT TQ EXCEEDTHIRTY.(30)DAYS,FOR THE PURPOSE.OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FORA FI1 MLINSPECCION. IN CONSiD6un6N OF APPROVAL OF THE
REQUEST ENE-HEREBY ACKNOWLEDGE *AG 'AS FOLLOWS:
I. Tills tetnPOMy-Power Celease is requested for the abaue stated purpose only,wd there"M to no
occupancy of any type,.Oher than that permitted by cohubuction during this time period.
z. As witness by our signal es,we heresy agree to abide by all terms&d conditions of this agreements
Including Building Division.policy,wJ1ch is incorpordjad herein by refs hence.
3:. All cdndiMons'and requffeinesits listAd in the attached document entitled"Requirements for 30 Day
Power'far Testing N- ve been fuifilleed Viand the'premise•is ready for compliance inspection.
4. AR requests for art stansion beyond 30 days must be•.made in writing to the Building Official stating
the reason'for the request. Power may be removeffrom the site and/or a Stop Work order issued if
the Fnal'Inspection has not-been approved within 30 days. A fee of0100.00 will be required t4 rft
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS;ST. LUCIE COUNTY,AND THEIR EMPI.OYM FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE.OF NATURE V'KCH MAY ARISE NOW OR.IN THE FUNRE OUT
OF THIS TRANSACTION.INCLUDING ANY DAMAGE-:liff fCP MAY BE INCURRED.bUE TO THE
DISCOMECWN OF ELECMCAL POWER IN THE l`IlW OF VIOLATION OF TfUS AGREEMl~N7'.
OWNER STG.
DAM'
DATE
ELECTI CAi_CONTFiAC rUP,SIGNATURE DATE