HomeMy WebLinkAboutrequest for temp power 30- day 2022-05-06 12:16
Wynne Building C rp 7728787656 >> P '316
A�. :. :�r•:,. �Be:rrne` j . evelopllnent Set-vices
At' n
is 1'd 8V 0• U� lOpg ® S T .� ii'@
alit
Co
-�"Re e
•.,`� 2 0O:�i�g1ni Ave .
FOB �lel'Ce L 34>�2 , RECEIVED
j
772-462-1i '5 Fax 772-462-6443 MAY 7 2022
St.Lucie County,Permitting
Rerquoitt for-30-Day Te porary Power Release
Date; �� Pe it'Nrrrnber: \��
Project Address: &A—Ns—
r`
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELFCJI ICAL POWER TO THE.ABOVE DESCRIBED
PROPERTY, FORA PERIOD NOT TO EXCEED THIRTY(3p)-DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN'PREPARATION FOR A.f MAL.INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE NERigY ACiC! OWLEDGE AND AGi�AS -LLOWS;
I. 31iis temporary power release is requested forth above stated purposrr only,and dvnie voll be no
occupancy of any type,other than that pernifttedl by construcbon during this time period.
2. A3 witness by our sigriawres,we hereby agree tol wide by all terms and conditions of this agreementIncluding Building Divislon Policy,which is incorporated herein by reference.
3. All conditions and rr✓ Orerhents listed In the atta ed document entitled-RequirementS for 30 Day
Power for Testing"have'been fulfilled and the pre ise is ready for compliance inspection.
4. All requests for an extension b*yond 30 days muq be-made in writing to the Building Dffidal stating
the r+ea-tori for the roquest. P.ower• maybe rem from-the site and/or a Stop Work Order issued if
the Finat•Inspection has not been approved vurt in 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;-:LUCIE COUNTY,AND THEIR EMPLOYEES✓-ROM. r..=
ALL LTAEILiTtES AND dAIMs OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF TK.S TRANSACTION, INCLUDING ANY OAMAGi:'1NHI . MAY BE INCURRED DUE TO THE
DISCONNECRON-Or-Et.ECTRTCAL POWER By TF E EV OF V10I.A170'N OF THIS AGREEMENT.
OWNER SIGNATUR DATE
GE C0NWV&0fz DATE
ELECTRICAL CONTRACTOR SIGNATURE DATE