HomeMy WebLinkAboutREQUEST FOR 30- DAY TEMP POWER 07-14-'21 15:35 FROM- 7728787656 T-232 P0002/0005 F-910
I
Planning.--&-D v topment Serv'icts
Buildin j-&twe A gulgion bivision
,f 2300:i%irginia Ave
For �'Paerce; FL 34982
7-72-46Z-21-65 Fax 772-462-6443
etyuek for 3.0-day Temiio' ' y Power Release
Date. Per it N(imber;
Project Address., Q—r,-J-I—
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED,TH IRTY(30)•DAYS, FOR THE PURPOSE OFTESIING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A MAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE•HEPBY ACKWV&EDGE AND AGREE AS FOLLOWS:
I. Trft temporary power release is requested ed for#ie above stated purpose only,ad there will be no
occupancy of any type,.other than that permitted by-col struWon during this time period.
2. A5 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 referenm.
3. All aor ditsom and requirerhents.listW in the attached dw ment entided'Pzqu'irements for 30 Day
Power fior Testing"Have been fulfilled and the premise is ready for compliance inspection.
4. All requests for art extension beypnd 30 days must be,-.made in writing to the Suilding Official stating
the reason for the request. Powee may be removed from.the site and/or a Stop Work Order issued If
the Finai'Inspeciion 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 FiMAE OUT
OF THIS 7WSACTION, INCLUDING ANY DAMAGE WHICH'.MAY BE INCURRED DUE TO THE
D SCOMECTL 'OF ELECTRICAL POWER IN THE WENT OF VIOLATION OF THIS AGREEMENT.
OWNER sim-ruRE DATE
GE, 'CONTl2AC P09 RE DATE
ELE�CPRICAL CONTRACTOR SIGNATURE DATE