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HomeMy WebLinkAboutPower Release 02-04-'21 14:15 FROM- 7728787656 T-794 P0002/0011 F-280 �. Planning iJevdlopment Services Building & Cude Regulation Division Eo 2300 Arg nia Ave_ R�`EIv Fort`Pielrc% FL 34982 FED 0 5 101� 772-462-2165 Fax 772462-6443 pe�mltt�n9 et" Request for 30-Day Tempoi ery Power Date: rc�- \ \ Perrmt Number. — r�� Pro Address: THE UNDERSIGNED HERE13Y 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: I. This tanp©rary pow release is requested for the above stated purpose only,and tere vdJ be no occupancy of any type, other than that permitted.by wrisbuction during t1*time period. 2. As witness by our signatures,we herby agree to abide by all terms End 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 cotnpliance inspection. 4. All requests for an eftrtsion beyond 30 days mast be made In wr dng to the Building Of kj,l 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 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 ESCMCAL POWER IN THE'SVENT OF VTOLA71ON OF THIS AGREEMENT. OWNER SIG DATE Go C0NTlWT0R PE DATE ELECTRICAL CONTRACTOR SIGNATU" DATE RECEIVED FEB 0 .5 Permitting Departme, St. Lucie Count.;