HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE 2022-05-02 15:55 Wynne Building Corp 7728787656 >> Pv1/3
Planning.&Development Services
Building&Code ReOul,ation Division E
230O.Virginia Ave aE�
o Fora Pierce, FL 34992 �"151
772-462-2165 Fax 772-462-6443 ��� �
gt.W,ole
OouriN
Request for 30-Day Temporary Power Release
Date: ` Pe`mit Number:
Project Address:
THE UNDERSIGNED.HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FORA PERIOD NOT 70 EXCEED,THIRTY(30)-DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND-EQUIPMENT IN-PREPARA►TION FOR A.FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST-WE HERESY ACKNOWLEDM AND AGREE AS FOLLOWS:
1. This temporary power release Is requested for the above stated purpose only,and there will be no
occupancy of any type,other than that permitted by constructlon during this time period.
Z. As witness by our signatures,we hereby agree to abide by all terms and conditions of this agreement,
Including Building Division Policy,which Is incorporated herein by reference,
3. All conditions and requirements listed In the attached document ent led"Requlrcments for 30 Day
Power for Testing"have been fulfilled and the premise is ready for compliance inspetbon.
4. All requests for an extension beyond 30 days must be-made In writing to the Building Offic4al stating
the reason forthe request. Power maybe removed from,the site and/or a Stop Work,Order issued if
the Final'Inspection has not been approved within 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 FROM
ALL LTABDXrIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO-THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OE VIOLATION OF THIS AGREEMENT.
OWNER SIGNATU DATE l
GENE WCONTRACT!0R RE DATE
ELECTRICAL CONTRACMR SIGNATURE DATE