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30 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