HomeMy WebLinkAboutREQUEST FOR TEMP POWER� 2022-03-15 12:23
Wynne Buildoing Corp 7728787656 >> P. 2/2
Ple'nni�#A bwdlbpment Services
Bdi'i1,d,ffn j Cdd'e��itegtolaeemn bivisie�n
2300;itil >i6a Ave .
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?724`62-1165 Fax 772-462-6443
ReepUdi t for 30-DaV TaMoo>rary !Power Release
Date: \��\r Aermii'Niimber: \C� r
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 We HERMY ACKNOWLEDtE AND AGUE AS FOLLOWS'.
1. I his temporary power reloase Is eequestd for the above stat$d purpose only,and tyre Will be no
o=pancy of.any type,other than that OnAtted by construcbon during this time period.
2. As witness by our signatures,we hereby agree to abide by all terms and conditions of this agreement,
Including 1uilding Division Policy,which is Incorporated herein by reference.
3. All conditions and requirements 11sUd in tie attached document entitled"Requirerri.Ents for 30 Day
Power for Testing"have•been'fulfilled and the premise is ready for compliance inspection.
4. All requests for an.extension beyond.30 days must be.made in writing to the Building Official sbting
the reason'for the request. Power maybe removed from.the s'te and/or a Stop Work Order issued if
the Fnai'Inspwt1on has not been approved within 30 days. A free of$100.00 will be required to lift
the Step Work Order.
WE HEREBY RELEASE AND AGi�EETO HOLD HARMLESS,ST..LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LiABI11 RES IAND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION,INCLUDING Ai4y DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECMCAL POWER IN THE ANT OF v10LA1IOW OF THIS AGREEMENT.
OWNER SIGNATU DATE
GEN CANTRACT07 R� DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE
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