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HomeMy WebLinkAboutRequest for 30-Day Power Release 06-30-'21 09:23 FROM- 7728787656 T-214 P0001/0001 F-887 Pta n rr :'I ei% apli ent•Serviom B i n '& (o:R gura tier Divlsion Fort Plc"O'.ee,;:PL 772 Z-:2 _G$ Fax 772 1 4G2=6443 Request for'30-Day-Temporary'Powl r Releaft Dade: ` Permit'N Om.ben L 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•PREPARAITON FORA'FINAL,INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNOV&EbGE,AND AGREE AS FOLLOWS: i, This temporary lam'release is m4ueswd for the above statM ptir M only,mW tlere WM be rro occupancy Of any type,other than that permitted by.construclJon during,this time period: 2. As witness by our signaW is,we.hereby agree to abide by all terms arid wnditlons of this agreement, inducting Building DIVlsion:Policy,which is incorporated hunch by refounce. 3. All conditions'and requirements fiisl i Jn the attached document entitled-Requireirmts for 30 Day Power for Testing"have been fulfilled and the premise is ready for co+ plianee inspection. 4. All requests.fbr an•exiension beyond 30 days must be'made In wMr4.to the Bulling Oftidal stating the reason'for the regUest. Power maybe rerhoved-fmin the site and/or a Stop Work Order issued Ti the FrnafInspection has not been approved within 30 days. A flee of$100.00 will be required to lift the Stop Work Order. WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS,ST. LUCIE MUNTY, AND THEIR EMPLOYEES FROM ALL LLABILMES AND aiUMS OF ANY TYPE OF MATURE WHICH MAY ARJ$E NOW OR IN THE FUTURE OUT OF THIS TRANSACTION;INCLUDING ANY'DAIwIAGE•VufiI�C�MAY BE DVCUMD DUE TO THE DISCONNECTION OF EI.ECTRiCAL P©WE R 3N THE EiIEN`l'01=1lYOLATIOi11 OF'THIS 1AAGREE14 . OWNER SIG.. DATE ' • 'CDAITAACTM' DATE ELECTRmou-250.Acm SIGNATURE DATE