HomeMy WebLinkAboutTemp 30 Day for Power Release 03-18-'21 09:20 FROM- 7728787656 T-904 P0001/0008 F-452
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R-egUe6tfor•30-D.a �' r>c po ai l► Pov er Re.pea�se
Dater Permit Nyrnber.:
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Project Adder:
THE UNDERSIGNED HEREBY REQUEsT.RELEASE OF ELE i CAL POWER'10 THE.ABOVE DESCRIl3iED
PROPERTY,FOR A PERIOD NOT TO EX4CEED THIRTY•(30)DAYS,FUR THIS PURPOSE OF THING SYSTEM$
AND EQUIPMENT IN PREPARATION FOR.A.FINAL INSP€C ION. IN CONSiDER?A O'N OF APPROVAL OF MJE
REQUEST WE-HEIEBY AdNOWLOGE AND AGREE AS FOLLOW&
1, Tiffs Wnpmry power r.�ieass is requested for the above.sued PUrPbse onk and there WE be no
occupancy of any type,ogler than tl-rat permitted by oohstrucUon during this time peridd.
2. As witness by our signaW es,we hereby agree to abide by aff ten ns aria condidons of this agreement,
including Building Division Policy,which is incorporaWd het;dh by re�'rw
3. All conditfts•and requh-ernents listecd.ln the attached doctlmenf entitled"'Requirements for 30 Day
Power for Testing"have been tifiiled and the premise is:ready for compliance inspection.
4- Ail requesM fir an extension beyond 30 days must be made in writing to the Building Official stating
the rteason'for tine request Power may be removed`froirt the site ancVor a Stop Mork Order issued if
the FJna1'1nspeW0n has not been approved wff hin 30 days. A fee of 4100.00 wiil be required to iPft
the StoP Work Order.
WE HEREW RELEASE AND AGREE T4 HOLD HAl7.ML�ss,ST..Luae c4UN Y,AND'THEIR EMPLOYEES FROM
ALL LIABIL71ES AND CLAIMS OF ANY TYPE OF NATURE WhICH MAY ARISE NOW OR IN 11iE FUTURE OUT
OF THIS TRANSACTION,INCLUDING ANY DAMAGE VVFIICH MAY BE INCUIRRED DUE TO THE
D,ISCONNEMON OF Ef-ECTRTCAL POWER IN THE WENT OF W OLAT,fON OF THIS AGREEM
OWNER SWNA7URE D/A7'E'
C�Eitl CQl�7�OR N DATE
ELECTRICAL C0N7RACTtOR SIGNATUPZ BATE
RECEIVE®
MAR 15 2021
Permitting Department
St. Lucie County, FL
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