HomeMy WebLinkAboutPower Release 06-09-'21 12:11 FROM- 7728787656 T-152 P0002/0009 F-794
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Pla:nni rg 8'<Developmfell�f Services
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2300 Virginia Ave
8 Fort fierce, VL 34982
772-462-Z1,65 Fax 772-462-6443
Request for 30-Day"l emisorary Power Release
Project Address::
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY(30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A:FINAL INSPECTION, IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. ?his temporary power release is requested for the above stated purpose only,and dwe wffJ be no
occupancy of any type,other than that permitted by construction during this time period.
2. As wry by our signatures,we hereby agree to abide by all terms and conditions of this agreement,
including Building Division Policy,which is incorporated herein by reference.
3. All conditions and requirements listed.in the attached document entitled"Requirements for 30 Day
Power for Testing"have beenfulfilled and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be.made in writing to the Building Official stating
the reason for the request. Power may be removed from the site.and/or a Stop Work Order issued if
the Final Inspection has not been approved within 30 days. A fee of$IOg.00 will be required to lift
the Stop Work Order.
WE HERESY RELEASE AND AGREE TO HOLD HARMLESS,ST, LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION,INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISMNNEC3T,ON OF ELECTRICAL POWER IN THE EVENT OF VIC A71ON OF THIS AGREEMENT,
OWNER SIGNATURE DATE
GFN C fdTI2a4C70R DAIS
ELECTRICAL CONTRACTOR SIGNATURE DA"fE