HomeMy WebLinkAboutrequest for 30-day power temp2022-05-06 12:16
Wynne Building
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772-46Z-
Request-fir 30-Day T
Date:\r
Project Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF
PROPERTY, FOP A PERIOD NOTTO EXCEED THIRTY
AND EQUIPMENT IN' PREPARATION FOR A EINiAL.IN;
REQUEST WE HSE i TIY ACKNOWLEO E AND AGREEI
WdIdOMent Services
de feguistion bivigidn
Ave
i Fax 772-442-6443
i1porary Power ftlease
RECEIVED
MAY 7 2022
St. Lucie County, Permitting
:CTRICAL POWER TO THE ABOVE DESCRIBED
0) -DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
:CTICIN. IN CONSIDERATION OF APPROVAL OF THE
FOLLOWS: -
. Th15 terl7pordty power release. is r�Ques d for t>�e above stai;ed purpose only, and &oe wilt tie no
occupancy of any type, 9ther than that perrrtitt by coiisbvcaon during this time prod,
2, !►s witness by our signatures, vve hereby agree t abide by all terms and conditions of this agreement
Including Building Division Poficy, which is incorr8t2d herein by reference.
3. AICConditions and nequitements ttsbEd.in thie atta d document ent5tied "Requirements for 30 Day
Power for fiesting" f�ave"been'fulfil(ed and the pr Ise is ready for compliance inspection.
4. All requests'for on extension Veyond.30 days m be, made in writing to the Building OfFrdal stating
the ressori fcr the request. Power maybe remm eed'from"the site and/or a Stop Work Order Issued if
the Rnal'Inspecivon has not been approved v t In 30 days. A tee OF $100.00 will be required to lift
the Strop Worts Order.
WE HEREBY RELEASE AND AGREE TO HOLD HAM
"ALL l IABILTrIES AND -CLAIMS OF ANY TYPE OF NA
OF THIS TRANSACTION, INCLUDING ANY DAMAGE
DISCONNECTION OF Et- a-PICAL POWER IN THE #
ST.- LUCIEZOUNW,AND THEIR EMPLOYEES FROM
WHICH MAY ARi.,E NOW OR IN THE FUTURE OUT
:H MAY BE INCURRED DUE TO THE
OF VIOLATION OF TM AGREEMENT.
OWNER SIGAIATU DATE
GEMS CONTPACt'Oft $1006kr DATE
ELEGiRICAL CONTRAC rok SIGNATURE i D"AlE