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Request for 30-Day Temp Power Release
10-21-'21 09'20 FROM- 7728787656 T-643 POOO1/0001 F-368 Planning-.&'De%4l6pment Services t Building Codes iaeguiation Division �- 2300:10ia�gmia-Ave Fort Psefte L 34982 F 772-462-2J65 Fax 772-462-6443 Requeist for 30-Day Temporary Dower Retease Date:� `\ PeTTmt NUM bef: ��a Project Address: THE UNDERSIGNED HEREBY REQLJFSr 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 RaWEsT WE-HEMBY ACKN WLEDGE AND AGREE AS FOLLOWS: 1. This ten porary Power release is reques�d for the above stated purpose only,and ttere w1l be no occupancy of any type,other than that permitted by eonstructlon during this time period. 2. As witness by our signatures,we hereby agree tb abide by all terms and conditions of this agreement, Including BuIlding-Division Policy,which is incorporated herein by reference. 3. All conditions and requiremer+ts listed in the*attathed document entrled%Requires"f©r 30 Day Power for Testing?Have been fulfilled and the premise is ready fbr cornpliance.inspecdon. .4. All requests for an extension beyond 30 days must be.made in writing to the Building Official stating the reason for the request Power may be removed from,the site and/or a Stop Work Order issued if the Finaflnspection 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 R TURE OUC OF THIS TRANSACTION, INCLUDING ANY'DAMAGE WHICH.MAY BE INCURRED DUE TO THE 000011l3 EMON OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. OWNER StGNA7UR DATE ZGCL0NTMR4CMMjkk DATA ELECTRICAL.CONTRACTOR SIGNATURE DATE