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HomeMy WebLinkAboutRequest 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