HomeMy WebLinkAboutrequest for 30-day for power release F2022-04-06 12:00 Wynne B ildoing Corp 7728787656 >> P 1/1
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Planning &-Develolpment SeTivices
Building itGode kegwlation Division
2306 Virginia Ave
Fort Pierce, FL 34.992
772-462=2165 Fax 772-462-6443
Request for 30-Day Tempoirary Power Release
Date: �`` Permit Number, .,
Project A•ddresS;
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECIRICAL 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 INSPECT-TON. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HIEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. Thls tempordry power release is requested for the above stated purpose only,and there wall be no
occupancy of any type,other than that permitted by const i iojnrr during this Unit period.
2. As witness by our sigriatures, we hereby agree to abide by all Leans and condlions of this agreement,
Including Building Division Policy,which 1S incorpordted herein by reference.
3. All conditions and requiremerAs llst:cd in the auachod documcrnt cntitled"RequiremerMi for 30 Day
Power for Testing"have been fulfilled and the premise Is ready for comnlianca ins rlinn.
4. All requests for an extension beyond 30 days must be.made in writing to the Building Official stadng
clip mason far the request. Power maybe removed from the site=and/or a Stop Work Ordrr issued if
the Final Trispecdon has not been approved within 30 Clays. A fpp of$100.00 will be,required-to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, Sf. LUCIE COUNTY,AND THEIR EMPLOYEES FROM
ALL LlABILMES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE.NOW OR IN THE FUTURE OUT
OF THIS TRANSACHON, INCLUDING ANY DAMAGE WFIICH MAYBE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER SIGNA-RIRF,y DATE
31
c.mr-n ..CONTRACTOR'-S N RE DA
ELECTRICAL CONTRACTOR SIGNATURE DATE