HomeMy WebLinkAboutPower Release 02-04-'21 14:14 FROM- 7728787656 T-794 P0001/0011 F-280
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RECEIVED
n Fort F�1Pt�4r 3�I`` 2 FEB 0 5, 1011
772 46241: Fax 772=462-6443
Permitting Department
St, Lucie County
Request for 30-Day Temporary Povier;Release
Date: � ''�� Permit NOmber:
Project Address:
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 requeSWd for the above stated purpose only,and thew will be no
occupancy of any type, other than that permitted by constructlon 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 entitidd"Requirements for 30 Day
Power for Testing"nave been fulfilled and the premise Is ready for c&npiiance inspection.
4. All requests far 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 Strap 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 FU` URE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNEC71ON OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF TMS AGREEMENT.
OWNER SIGN&JURE - DATE '
GME CONTRAC?'6R S" RE DATE \
ELECTRJCAL CONTRACTOR SIGNATURE DATE
RECEIVED
FEB 0 5 1021
Permitting Department
St. Lucie.county