HomeMy WebLinkAboutRequest for 30 Day Temp Power02-25-"22 13:14 FROM- Wynne Building Corp. 7728780224 T-796 . P0002/0008 F-560
Project Address:
Planning.&'. Devdlopment Services.
Buildin§ . &-Ciode gioulation Dimisibn
'2300:V1r§!n1a Ave
ftifPlefte, FL 3402
7-72-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Permit Wimber.
1J � os-e-2
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 AFINAL INSPEMON. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE -}HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS'
1. 7his temporary power release is requested for.the above stated purpose only, and Viere vd) be no
occupancy of any type, ether than that permitted by coast rucbon (luring this time period.
2. As witness by our signatures, we hereby agr'ee to abide by all terms and conditions of this agreement,
including Building Division Policy, which is incorporated herein by reference.
3. All conditions and requimments listed In the attached document entitled "Requirements for 30' Day
Power for Testing" have been fulffiled and the premise is ready for compliance inspecdon.
4. All requests for on, extension beyond 30 days must be- made In writing to the Building off stking
the reason for the request Power may be removed from the site aid/or a Stop Work Order issued 0
the 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 LIABILITIES AND CLAIMS OF ANY TYPEOFNATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE'WHICH MAY BE INCURRED DUE TO THE
DMOMEMON OF ELECnUCAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER SIGN A DATE'
GEN rco M2�MRE DATE
NTIIACI_
ELECTRICAL CONTRACTOR SIGNATURE DATE