HomeMy WebLinkAboutTemp Request for 30 Day Power 03-18-'21 09:22 FROM- 7728787656 T-904 P0006/0008 F-452
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Date: �� \ Permit Number:
Project Adder: CD< � :n
THE UNDEPMGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER'TO THE ABOVE DESCRIBED
PROPERTY,FOR A PERIOD NOT TO EXCEED TiIRTY,(30)•DAYS,FOR THt PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FORA FINALET5PEGTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HAY ACi WAGE ANb AGE*P�s FOLLO'i&
1. This temporary power release is requested for the above soterl purpose ol3ly,and fiheie Will be no
occupancy of any type,tither than that.perm tied by poitsb ction during this time period.
2. As•witness by our signMits,we hereby a9tee t0 abide W all terms acid-conditions of this agreement,
indudi t Building Division:Pbll which is incorporatedh' e
� g cY, erern r Terence.
by
3. Al conditions'and requirements hsted.in the attached dvc�urrent entit3 d"Requlrernerits for 30 Day
Power ffor Testing"have been ful0tlM'and the premise is ready for co npliance inspection.
4. All requests or an extensian beyond 30 days must be'rnade in writing to#fre Building Of dal stating
the reason for the request. Power may be removed'from the site and/or a Stop Work Order issued if
the Rnal'Inspecbon has not been approved within 30'days. -A fee of0100.00 will be required to lilt
the Stop Work Order.
WE HEREBY RELEASE AND AGREE.TQ HOLD.HARMLESS,ST. LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL I IAB�K MS AND.aKMS OF ANY TYRE OF NATME WHICH MAY ARISE NOW OR IN THE RElTURE OUT
OF THIS TRANSACTION;INCLUDING ANY`DAMAG8 WHIC l MAY BE INCUi2RED Of1iw TO THE
DISC6NNEMON OF EL1=MCAL PbWER IN Ti:E' NT OF VMLATION Of THIS AGPEEME
OWNER SIG.' DATE '
{ 'CO , } DATE_
ELEC} M CONTRACTOR SIGNX11JRE DATE
R E Cr4 E
IC E®
MAR 19 2021
Permitting Department
St. Lucie County, FL