HomeMy WebLinkAboutREQUEST FOR TEMP POWER 2022-03-15 12:23 Wynne Buiidoing Corp 7728787656 >> P 1/2
Pla:»7 10 j' Develo a res�t Sesvites
Builitt109 LC deg�Regulatidn Divisia n
FOIl'$-PidrCey F . 402 .
7?2-462�-1165- Fax 772-462-64143
j Requdgt for 30-May Teim.' soeary Power Release
Date:` � \ ' Permit'Nurnbee:
Project Address: '�D
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY,FORA PERIOD NOT'r0 EXCEED-THIRTY(30)-DAYS, FOR THE PURPOSE OFTESTING SYSTEMS
AND EQUIPMENT IN'PREPARA7ION FOR A FIIVAL.INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNowLEDGE AND AGREE AS FOLLOWS:
I. This temporary power rejease is MquegW for the above.stated purpose only,,and theme WiD be no
occripancy of any type,other than that permitted by construction during this limit period.
2. As witness by our srgnaUes,we hereby agree th abide by all terms and conditions of this agreement,
Including Building Division Policy,which is incorporated hl min by reference,
3. All conditions and requirementrr listed in the attach fi
ed document entitled"Requirements r 30 Day
Power far TeSdAg"h8ve'been'fulfilled aid the premise is ready for compliance inspection,
4. All requests for ar.extension beyond•30 days must be-made in writing to the Building official slating
the reason tr the request, Power maybe removed'from.the site and/or a Shop Work Order Issued If
the Fnaf1hepection has not been approved within.30 days.. A fee of$100.00 will be required to lift
the Stoop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD H., LESS, ST,.LUCIE COUNTY,AND THEIR FRO MALL
FM
ALL LTABILTrIES AND.CLAIMS OF ANY TYPE OF NATURE WHICH KAY ARISE NOW OR IN THE FUTURE OUT
OF TH-IS TRANSACTION,INCLUDING ANY OAMAGE'WI`7ICH MAY BE INCURRED DUE TO THE
DISCONNEC17ON OF ELEcmm POWER V9 THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER SIGNATUR DATE
�
GEN ifCONIUCTOR DATE
ELI:CIRICAL CONTRACTOR SIGNATURE DATE+
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