HomeMy WebLinkAboutRequest for 30- day power 01-19-'22 11 :11 FROM- 7728787656 T-910 P0001/0002 F-690
Planne nti . Devd1op went Services
Biii(djn" :&cede kieoulation Division
- 230irgn'ia Ave
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R�L 2 .
Fort Plerfe, 3S
2-462;- i65 ' Fax 772-462- ,3
Requektfor 30-D'ay,Temporary PowerRetease
Date: \� Permis'Nomber: Q A--- Q�n126\
1,,,.d Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECMICAL POWER TO THE ABOVE DESCRIBED
PROPERTY,FOP,•A PERIOD NOT TO EXCEED THIRTY(30)-DAYS, FOR THE PURPOSE OF TES-MG SYSTEMS
AND EQUIPMENT IN'PREPARATION FOR A FIML.INSP,EC MN. INCONSIDERATION OF APPROVAL OF THE
REQU9ST WE HEREBY AC'KNOV&EDGE AND AGPZ5 AS FOLLOWS:
1. This temporary power release is guested for the above sbted purpose cry,and tie Y411 be no
occupancy of any type,Qther,than that pemiitted-by cohstruction during this time period.
Z. As witness by our signatures,we hereby agree to abide by all terms and conditions of this agreement,
including Building Division Policy,which is.incbrporated herein by reference,
3. All conditions and requiranents.listed in the attached document entitled"Requirements for 30 Day
Power for Testing'have,been 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 swing
the reason far the request. Power maybe removed from,the site and/or a Stop Work Order Issued if
the Final'Insper don 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 HARmEss,Sr.LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LIABII.MES AND•CLAIMS OF ANY TYPE OF NATURE WHICH KAY ARISE NOW OR IN T 14E FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE-WHICH MAY BE INCURRED DUE TO THE
DISCO'NNECI701%OF ELECTRICAL POWER IN THE ANT OF VIOLA11ON OF THIS AGRED04T.
OWNER.SIGNATUR DA
CONTItAiCTO]Y RE DATE. \
9C nUCAL CONMCPOR SIGNA-PC3RE DATE