HomeMy WebLinkAboutREQUEST FOR 30-DAY FOR POWER 03-07-'22 12:54 FROM- Wynne Building Corp. 7728780224 T-862 POOO1/OOO5 F-624
PlanningA Development Services
WHO ng &Code Regulation 01; Sion
2300M jiralia Ave
Fort Pierie, FL 34952
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Pourer Release
Date: �� Perm"'Number: e-0
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"V1 a-HEREBY Aao' =LEDGE AND AGREE AS Fa Laws:
1. This-temporary power release is requested for the above stz d purpose only,and there vA be no
occupancy of any type,other than that permitted by construcdon during this time period.
2. As witness by our slgnatutes,we hereby agree to abide by all terms and conditions of this agreement,
including Building Division!Policy,which is lncorpor4ed herein by reference.
3. All conditions and requirements.lisped in the attached document entfded"Requirements for 30 Day
Power for Testing"have been'futfilled and the premise is ready'for compliance inspection,
4. All requests for an extension beyond 30 days must be.made in.wridng to theBuilding Official slating
the reason for the request. Power may be removed fbm,the site and/or a Stop Work Order issued if
the Anal'IrMacdon 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..LUQE.000NTY,AND THEIR.EMPLOYEES•FROM
AGG LIAERJT[ES AND.CLAIMS OF ANYTYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF B C TPJCAL POWER IN THE EVENT OF VIOLATION OF THIS AGRl=EMENT.
OWNER SIGNA7URa DATE
G COMTRACT R DATE
ELECTRICAL-CONTRACTOR SIGNATURE DATE
DECEIVED
i d '
;;t. i.ucie County,Permitting