HomeMy WebLinkAbout30 day request for power03-18-' 21 09:21 FROM-
7728787858 T-904 P0.004/0008 F-452
Planning 1 be irdlopil e'nt'Services
-Ave82
772-�462. 11 Fax ,77 4fi Wfi 43
Requi-for 31 0- Wy Telopora� flow .Release
Dafif-v r: -
Perrin -NUmber.
Lam; Address: ��:I -e e� r' e.\ 1;�\ k_-�A�
THE UNDERSIGNED HEREBY REQUEST RELEASE OP ELECTRICAL POWER TO THE ABOVE DESCRMED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY ,(3O) -PAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A.FINAL; IMSPECTION. IN CONSIDERATION OF APPROVAL OF THE
RE iQuF T WE HEREBY ACKNOWLEDGE AND AQVE AS FOLLOWS.
1. Ibis temporary power release is requested for the ibMstabW purpdse only, and them wM be .no
0=pancy of any type"tither than that permitted by cort%truction during this drne period.
2, As witness by our signatures, we hereby. agree to abide by. all terms acid -conditions of this agreement,
including Building Division .Policy, whith is Incorporated herern by refe ence.
3. At condit96ns.and requtreibents-listed in the atl4died document ent*!d -Requirements for 30 Day
Power'fbrTestirig" have been fu ilkd.arid the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be made in writing to the Bullding official stating
the reason fvr the request Power may, be rernoved"froin the site and/or a Stop Work Order issuers if
the Final Insp�con 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 HOL;D. HARMLESS, S % WaE COUM Y, AND THEM ENIPLOYMS FRONT
ALL. LIAi3IlITIES AND CZ.AIMS OF ANY TYPtOF rjA7UaE WHICH MAY ARISE NOW OR I114 THE FUTURE OUT
OF TH%S TRANSACT!QN; INCLUDING ANY DAMAGE'VIfRKWMAY BE MWRED DUE TO THE
DISCONNECTION CF ELECMM POWER IN THE- EVEN' OF VIOL MON OF THIS AGREEMEW
DATE
DATE
DATE
RECEIV'=r%
MAR 19 2021
Permitting Department
St. (ucie County, FL