HomeMy WebLinkAboutRequest for 30-day for power office2022-05-02 15:55
Wynne Building
i
Grp 7728787656 >>
P 3/3
Plonning .
2100. Vlt4i r
.Fdrt-Pedece,
771_462%4- i
wdldp ment Services
de Regulation Diva§idn
Bove
o Fax 772-462-6443
RECEWD
MAY 0' 7 2022
Requ t4de 30-Day Te I - rary Power Release �t, �u�i� aeur+ty, P�rml�ifl�
Date: `7 \� \ `� ' _ Pe Wt Minaber:
Project Address:
'rHE UNDERSIGNED HEREBY REQUEST" RELEASE OF I
PROPERTY, FOR A PERXOD NOT TO EXCEED THIRTY
AND EQUIPMENT IN PREPARATION FOR A .FINAL.IM
REtQI -ES]" WE HEREBY ACKNOWLEDGE AND AGREE E
1. This temporary power release is repuested -for
orcUpan y of any type, other than that pEnAtt
z. A, witness by our signatures, we 1'r:reby agree
Including Building Division Policy, which Is InCoi
3. All conditions and requirements listed In the atl
Power for Toting" have been fulfilled and the 1
4_ All requests for an extemsiori 6eYond•30 days rr
the rea$on For the request. Power may be rem
the FinallnspeLtton has not been approved vAt
the Stop Work Order_
TRICAL POWER TO THE ABOVE DESCRIBED
DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
"IION. IN .CONSIDERATION OF APPROVAL OF THE
above stated purposL only, and there WiIJ be no
by cohstructlol i during this lime pcartod_
abide by all terms and conditons of this agreement,
rated herein by reference.
,ccl document entitled "Requirements for 30 Day
mise is ready for compliance inspection.
t be. made In writing to the Building Official stating
A from the site and/or a Stop Work Order issued If
30 days. A Fee of $100.00 will be required to.lift
WE HEREBY RELEASE AND AGREE TO .HOLD. HARMLES ; Sf...LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS .OF ANY TYPE OF NATUR WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING A -NY DAMAGE VV1 CH'MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EM it OF VIOLATION OF THIS AGREEMENT.
OWNER SIGNARIRF_ DATE
GENYeCONTRAC701Z 0A AS DATE
CONTRACTOR
DATE