HomeMy WebLinkAboutPower release 02-26-'21 13:01 FROM- 7728787656 T-842 P0007/0007 F-359
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R,e46 'for 30-DaV'Tefr por2i y'PowerRetease
Perit'Mrnber. � �1 C� (s,
Prqed Address: \1:?,=L �
THE UNDEPMGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DE'SCItmw
PROPERTY,FOR A PERIOD NOT TQ EXCEED THIRTY(30)DAYS, FOR THE PURPOSE OFTES'CIMG SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A ENAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HSE F I'AC KNOWI EDGE AND AGUE AS FOLLOWS:
I. This Crary power release is requested for the above stated pmpose only,and there vA he no
occupancy of any type,ether than that permitted by con on during this time period.
2. As witness by our signature,vk*he*y agree tb abide by-.all terms and coriditions of this agreement,
including Building Division Polity,Which is incorporated herein by references.
3. All conditians'and reyuirements.Eisted in the attached document entitled"Requirements for 30 Day
Power for Tesbnow have been fulfilled and the premise is ready for compliance inspecbm.
4. At requests for an adension beyond 30 days must be made in writihg to the Building official stating
the t on'Ior fht_request. Power maybe removed from the site.and%or a Stop Wft.Drier issued if
the Final Inspection has not beers approved within 30 days. A fee of$100.0D will be requked to lift
the Stop Work Order.
WE HETtEBY RELEASE AND AGREE.TO BOLD HARMLESS,ST. LUCIE COUNTY,AND THEIR D41PLOYM FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE 05NATURE WHICH MAY ARISE NOW, OR IN THE FUTURE OUT
OF THIS'E MSACrION,INCLUDING ANY DAMAOE'WIHICFI MAY SE INCURRED CLUE TO THE
DISG01�1lECTTON OF t-LEGTftXt POWEf�IN THE EVE OF IC.LAWN OF THIS AGREEMENT,
C)UUNEtt SICNATUI? DATE
r c.c,
GFrq CON Ti C 01t DATE
ELECTRICAL CONTPACTOR SIG144fURB DATE'