HomeMy WebLinkAboutTemporary Power Release RECEIVED
JUN 17 2021
St.Lucie County
Permitting
_-- - — Planning a Development se im
Building&Cade R?,eguga n D'MIslon
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2 300 Mirrgiinia Ave
7712-462-2165 [Fax 772-462-6"3
R®gmeat for r s®-Da v Temporary Power Release
Date: Z �� Permit Number: Zol/ —D/7
Project Address: 3 33 7 T2 Ti Gf� �-E
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. This temporary power release is requested for the above stated purpose only,and there will be no
occupancy of any type,other than that permitted by construction during this time period.
2. As witness 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 far Testing"have been fulfilled 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 slating
the reason for the request. Power may be removed from the site and/or a Stop Work Order rued F
the Final Inspection has not been approved within 30 days. A fee of$100.00 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 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
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OVMER SIG RE DATE
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GENERAL coNTRAETOR Ur.NATURE DATE
a�•,:� ,7c,�:� -• Goldstar Electric, Inc. �'�7
ELE0 WCAL CONTRACTOR SIGNATURE DATE