HomeMy WebLinkAboutTemporay 30 day for power release formLJ - __ .., _ _. - � --- --
Date:
07/06/2021
Project Address:.,
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5153 Arming Place
Permit Number: 2101-0023
=THE UNDEFtSZGIVrD HER��Y REQt1EST ftEI��AS� �F� ELECTRICAL P0111/ER TQ THE�.ABOVE- Q�SCRZBED
PROPERTY,. FOR A PERIOD: NOT TQ EXCEED THIRTY (30) .DAYS, FOR THE PURP0.SE OF TESTING SYSTEMS
AND EQUIPMENT TN PREPARATIOfv FOR A FINAL INSPEGTIOIV, IN C4N5YDERATIQN OF APPI201/AL 4F THE
�tEQUEST 11VE HERBY ACKNOWLEDGE. AND�AGRE� AS; FOLLOWS:
is This temporary power release is requested for the above stated purpose only, and fihere will. be tto
occupancy of any type,�otherthan that permitted by:construction during this lime period.
2, As witness try our Signatures, we hereby agree to abide by all terms and conditions of this agreement,
including Building .Division Policy, which, is incorporatied herein 6y reference.
3: Aq conditions and requirements listed In fhe attached document entitled ``Requirements- For 30 Day
Pawer for Testing" have been fulfilled and the premise'is ready: for compliances inspection.
.�. All requests for an extension beyond. 30 days. must be made in writing;to the Building Official stating
the reason for the request:.Power-maybe removed from the site anal/or a 5top�lNork Order�issued if
the Final. Inspection has.nat been approved. within �O�days. A fee of $10.O.QQ .will be required.to lift
the_Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE.COUNTY, AND THEIR EMPLOYEES FROM
ALL_ LIABILITIES AND CLAIMS. �F ANY TYPE OF NATURE WHICH. MAY ARYSE_ N�,1N OR xN THE:FUTURE OUT
OF THIS TRANSACTION, INCLUDING. ANY.DAMAGE WHTCM MAY BE INCURRED DUE TQ.THE.
DISCONiVECTION OF ELECTRICAL. P.,�OWER �IN THE EVENT OF 1/I�LATION OF THIS AGREEMENT:
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R SIGNATURE
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DATE
)o�ep% .$pair 6/7/2021
PATE
6/7/2021
DATE
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