HomeMy WebLinkAboutRequest for 30 - day pwoer temp2022-05-06 12:17
Wynne Building
rp 7728787656 >>
P 6/6
Planning I I
Building & C
2300-Wegini
Fort Pierce,
,vdoprnent Services
de Regulation Divisimn
Ave
. 34992 .
o Fax 772-462-6443
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Request for 30-Day Tei porary Power Release
Date: \��r_ Pefnllt Number:
Project Address:
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (k) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A .FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF -w
REQUEST WE HERE13Y ACKNOWLEDGE AND AGREE AS FOLLOWS
1. 71ils temporary Dower release is requested for the above stated purpose only, and there will be no
occupancy of any type, other than thatpermittedlby construction during this time period.
z. AS witness by our signatures, we herUjy agree Lo abide by all terms and conditions of this agreement,
inducting Building Division Policy, which is incorporated herein, by reference.
3. All conditions and requiremen , listed in the attached documenC entmed "Requirements for 30 Day
Power for Teslinl," have been fulfilled and 1-ho prpmlv:, Is ready for compliance inipactlori.
4. All requests for an e.XLension beyond 30 clays must, be made in writing Lo the Building nFFldal Staking
the rea$on For the request. Powel- may tx: removk1 from the slte and/or a Stop Work Order issued if
thp Fnal'Inspeddon has not been approved withtlnl 30 flays. A FPf•, of $100.00 will tic-, required to lift
the Stop Work Order.
WE _HEREBY REL EASE AND. AGREE T0._HOLD HARMLESS,1 ST. I_UCIE COUNTY, AND_THEIR EMPLOYEES_FROM�' = z° --, •s
ALL I.if1131t11"!ESAND .CLAIMS `OF ANY TYPE OF NATURES WHICH MAY ARISE NOW OR IN ifiE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE -
DISCONNECnON OF ELECTRICAL POWER IN THE EVEN" OF VIOLATION OF THIS AGREEMENT.
OWNER SIGNATURE DATE_
GENER . CONTRACTORS TVA R7= DATE
ELECTRICAL CONTRACTOR SIGNATURE f DATE