HomeMy WebLinkAboutREQUEST FOR 30-DAY FOR POWER 03-07-'22 .12:55 FROM- Wynne Building Corp. 7728780224 T-862 P0004/0005 F-624
Planns +g: a 60ment Set vices
Bri lid otie eili on DiVisien
230 D-' jfda Ave
Fdi Pier'M PL 3 2-.
7-72-462-2 f5- Fax 772-46'2-6443
Requdt t for 30-Day Te"quirary.iaower'Release
Date: \ Permit Nflmber: \� LO
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 EQLgPMENT IN•PREPARATION FOR A FINAL.INSP.EC IDN. IN CONSIDERATION OF APPROVALOF THE
REQUFSI-WE HBE MY ACiN4OVl"ILeDGE AND AGE AS FOLLQii ,
I. This temporary power release is ri quested for the above stated purpose only,and*we wM be.no
occupancy of any type, other than that permitted by eoimtrucUon ddring this time period.
1. As witriess by our s-ignati m' ,we hereby agree tb abide by all terms and conditions of this agreement,
Including Building Division Policy,which is incorporated herein by retnenee.
3. All conditions and reofremema listed in the atiai hed document enMed"Requirements For 30 Day
Power for Testing"have-been fulfilled and the,premise is ready for compliance inspection.
4. All requests fibr an extension beyond 30 days must be-.made in writng to the Building Of iat stating
ft reason for the request. Power maybe removed'from the site and/or a Stop Work Order Issued if
the Rnai'InspeMon has not been approved within 341 days. A fee of$100.00 will be required to I'ft:
the Stop Work Order.
VILE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST.,LUCIE COUNTY, AND_THEIR EMPLOYEES-FROM...-.....
.•- ALI;LIABILTRES AND-.CLAIMS•OF ANY TYPE-0F•NATiJRF WHICH'NfAY ARISE MOUV OR IN THE FUTURE OUT
OF THIS TRANSACTIQN,INCLUDING AiVY DAMAGE-WHICH•MAY BE INCURRED DUE TO THE .
DISCOMEC PION OF.MEC'i'RICAL POWER IN THE? R1 T OF VIOLATION OF THIS AGREeMEW.
OWNER SIGNATU DATE ,
1
:G3EZCONT11AC.M. DATE
ELEC MICAL CONTRACI"Qlt SIGNATURE DATE
RECEIVED
MAR 0 7 207?-
8t,Lucia C®uritri Parm
itti^n