HomeMy WebLinkAboutREQUEST FOR 30-DAY TEMP POWER RELEASE 10-132 21 11 :05 FROM- ,
7728787656 T-631 P0003/0008 F-348
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kegeiestior 3.0=D'ay Temporary•Power Release
Bate. Permit Nam.ben
Projed Address:
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THE UNDERSIGNED HEREBY REQUEST RELEASE or-'ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY,FOR A PERIOD NOT TO ECCEED1HIRTY(30)-PAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN•PREPARATION FOR A FINAL INSKotTION. IN CONSIDERATION OF APPROVAL OF THE
REquEsT.WE mEREBY ACKNOtIIt MCE AND AGkEE•AS FOLLOWS:
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1. This temporary power release is requested for the above shed Purpose only,and tie wW be no
occupancy of any type,other than that permitted by construction during this time period.
2. As witness by our signatures,we heraby agree to abide by all terms and conditions of thts.agreemerk
including Building Division Policy,which is incorporated herein by reference.
3. All conditions•and req►.[irerwts listed:m the attached document entStled"Requirements for 30 Day
Power for Testing"Have beenfulfilled and the'premise is rdddy fnr compliance inspection.
4. All requests for an extension beyond 30 days must be••made in writing to the Building Official stating
the reason for the request. Pourer may be removed from.the site and/or a Stop Work Order issued if
the Final•Inspecion has not been approved within 30 days. A fee of$100.00 will be required W rift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS,.S7. LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIABILIITES 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
DISCONNECLZON OF EL.ECnUCAL POWER Im THE EVENT OF WOIATION OF THIS AGREEMENT.
OWNER SIGNATURE ••• DATE
GE 'CONTRACTOR DATE
DATE
ELECRICA CO
TL NTRACPOR SIGNATURE