HomeMy WebLinkAbout request for power temp 30 day 02-25-'22 13:15 FROM- Wynne Building Corp. 7728780224 T-796 P0006/0008' F-560
P14n. nih j &�:be4. went Services
SWIM -8�ode''Regulafiion DlVision
230 .aria Ave
Fort-Pierce; FL 34982
772-462=2iO Fax 772-462-6443
Reque -for 30-Day T.emoorsry Power'Retease
Date: —s O'er
P it�N ��errr� Umber.
canProtect Address: �
THE UNDERSIGNED HEREBY REQUEST•RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT-TO EXCEED-THIRTY.(a0) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A ANAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE mERl`BY AOXOWLED.GE AND AGREE-AS 1=)UoV S:
1. This temporary power release is requesfied for the above sued purpose only,and there will be no
occupancy of any type,outer than that permitted by construction 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 pond-coons and requirements listed in the attached document entttti_d"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.ma&in writing to the Building offkial staling
the reason for the request. Power maybe removed from,the site and/or a Stop Work-Order issued if
the Fnai'Inspection 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,.S?, LUGIE COUNTY,.AND..THEIR EMPLOYEES FROM.
_
ALL LIABILIITES AND CI IIMS 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
DISCONNECTION OF EL CTRICAL POWER IN THE EVEN'OF VIOLA1701Y OF THIS AGREEMENT.
OWNER SIGNATU DATE
G 'CONTRACTOR DATE
ELECTRICAL CONTRACMA SIGNATURE DATE