HomeMy WebLinkAboutRequest for 30- day temp power 02-25-'22 13:15 FROM- Wynne Building Corp, 7728780224 T-796 P0005/0008 F-560
Pla:nnin j Seevices
13tui1 no-&Code Regulation Divisid n
2300,Virgtoia,Ave
Fort Pilefte; FL 34952
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Requdstfor N-Day'Temporary*PowerRetease
Date: � '� Permit Number' a i�� 0,.o��
Project Address:
THE UNDERSIGNED HEREBY REQUEST 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
REQUEST"WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above stated purpose only,and ftm vA be no.
occupancy of any type,other than that permitted by coi strucctlon,during this time period.
2. As wMess;by our signatures,we hereby agree to abide by all terms and conditions of tWs agreement,
including Building DIMs9on Policy,which is incorporated herein by reference.
3. All conditions and requirements listed in the atUached document entitled"Requirements fnr 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 stating
the reason for the request. Power may be removed from.the site and/or a Stop Work Order issued if
Me Final*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, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
--ALL-LIA8 LMES AND CLAIMS.OF ANY TYPE.OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WJgICH MAY BE INCURRED DUE TO THE
DISCONNEMON OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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OWNER
JR DATE
G taf�iACi'OR RE DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE