HomeMy WebLinkAboutRequest for 30 Day for Power 03-18-'21 09:21 FROM- 7728787656 T-904 P0003/0008 F-452
Plaixigno �bom- entservic:S
fe egultiff6n lDivi 6111
:�...': Fbrr die FL 34482
772-462y23.6 Fax 772�462-644.3
Re roes fair 306.64-Teftporar Powor.Release
Date: �� Pert itlqilrj ber: ,10(2) \�
Projed Address: cz(,\ G
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER T f'O Tt E ABOVE DESCRM D
PROPERTY,FOR A PERIOD NOT TQ 1 XC:EED THIRTY.(30)-PAYS, FOR THE PURPOSE OF TESnNG SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A.fD AL.-3NSP€CTT0N. IN CC)NSIDMTION OF APPROVAL OF THE
REQUEST WE H l'ACKNOWLEDGE,AND AGREE AS FOLLOWS'
-. 'This temporary power release is requested for the above Stated purpose only,and there v41 be.no
ootVancy of any type,ether than that permitted by construcdon during'this time period.
2. As witness by our signatures,we hereby agree to abide by ail terms Arid-conditions of tips agreement,
including Bullding aiVislon.Policy,which is Incorporated h6iefh by reference.
3. All aondibbris:and requirerherits.listed in the attached document entitii=d""Requirements for 30 Day
Power for TessUngff have been fulfilled and the premise is ready for compliance inspecton.
4. All requests fnr an extension beyond 30 days musk be,made in-writing to the Building Official stating
the reason for the request Power maybe removed"from the site and/or a Stop Work.Order issued if
the Fnallnspdalon has not:been approved within 30 days. A fee of$100.00 will be required to lift
the Stop Work Order,
WE HERE8Y RELEASE AND AGREE,TO HOLD.HARMLESS,ST,LUCIE COUNlY,AND THEIR EMPLOYEES FROM
ALL,LIARILI IES AND CLAIMS OF ANY TYPE OF NATIXE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRA.NSACrIbNr'INCLUDING ANY DAMAGE WHICH.-MAY BE INGUl kEla DUE TO THE
D3SCONNEMON OF POWER IN THEE1II;N�OF 1liflLATION OF THIS AGREEMENT.
VMRR SEGNIITURE DATE'
X
:CONT2RACTOR
FATE
SIGNATURE DAFE
RE CEI
MAR 19 2021
Permitting Department
St. Lucie County, FL