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HomeMy WebLinkAbout30 Day Temporary Power Release 03-07-'22 12:55 FROM- Wynne Building Corp. 7728780224 T-862 P0005/0005' F-624
Pl nn O ent Se jim
BdiFlr ng• CodbAijulation Wis{bn
MIA Ave-
772-462`lift Fax 772-462-6443
Requditfor 30-Day Temporary Powelrlteiease
Date: � Permit•Number:" �©.� ' —1
Pmject Address: _ ` CAG S ,
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED .
PROPERTY, FOR A PERIOD NOT TO EXCEED•TMIR`IY(30)-DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A RNAL.INSPECRAN. IN CONSIDERATION OF APPROVAL OF THE
REWEST WE HEREBY ACKN011 LMGE AND AGE AS FOI. OWS:
1. This temporary power ruse is requested fprthe above s>eted purpose•oft and there WiD be no
occupancy of any type,other than that Oerriirtbed by aonsixud9on during this timi:period.
2. M witness by our signatut",vit hea eby agree to abide by all terms and conditions of this agreement,
Incltiding Building Divlsion Policy,whith is incorporated herein by refer .
3. Ap conditions and nequinanent5 llftd in the aMcheb document entitled"Requirements 1br 30 Day.
Power for Testing"hcive•been AAHed acid the prerraise is ready for compliance inspection.
4. All requests-for-an extension beyond 30 days must be-,made in writing to the Building official sWng
the reaOri for the request Pd.weer• may be removed'froin.the site and/or a Stop Work Order issued sy
the Fnal1nspecdon 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..I.UQE r,.PgK,_AND,THEIR.EMP.LOYEES.FROM.-
ALL LTABII�lES'AND,CLAIMS OF ANY TYPE OF NATURE U1 HICH KAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE-WHICH•MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVEW OF VIOLA170N OF THIS AGREEK01T.
OWNER SIGNA'FU DATE
COid RE DATE
\ -71 \
ELECTRICAL CONTRACTOR SIGNATURE DATE
RECEIVED
MAR 0 7 202?„
St Lucie County,Permitting