HomeMy WebLinkAboutRequest for 30-Day temp Power Release 10-18-'21 13:25 FROM- 7728787656 T-634 P0001/0001 F-354
Phn rift &`661 O prnent Semmes
Bu�f C rg' CW.4 iegulation DiviSivn
230 1rrnia Ave
Fbirt Met FL 34982
772-462-1165 Fax-772-462-6443
Reque lor 30-Day.-Tempoi ary'Power Re6ease
Permit Wimber.
ProjedAddmss:
THE UNDERSIGNED HEREBY REQUF..ST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESOUM
PROPERTY, FOR A PERIOD NOT TO.EXCEED THIRTY.(30)-DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN'PREPARATION FOR A#INAL INSPEMON. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HWEBY ACKNOWLEDGE MD AGE AS FOLLOWS:
1. This temporary power release is requesW for the above steiml pwpose cdy,and owe will be no
occupancy of any type,other than that permitted by cohsbruceon during this Ume period.
2. As witriew by our signatures,we hereby agree tt)ablde by all terms and conditions of this agreement,
including Building Division Policy,wNch is Incorporated herein by refFxence.
3. AN conditions and raequiremer►ts listed in the attached document entided"Requirements for 30 Day
Power for Testing"have bew 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 sbt"-
the reason for the request Power may be removedfi-om.the site and/or a Stop Work Order issued if
the fiinal'Inspection has not been approved within 30 days. A fee of$100.00 will be required tD TrR
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'WHICli MAY BE INCURRED DUE TO THE
DISCONNECTION OF-ELECTWCAL POWER IN THE'S0qT OF VIOLATION OF THIS AGREEMENT.
OWNER SIGNATURE DATE
COi TRAC� RE DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE