HomeMy WebLinkAboutrequest for 30-day power temp2022-05-06 12:16
Wynne Building Corp
7728787656 >>
P 4/6
Date. ds\
Project Address:
Planning
Building 4L I
2300: �r jin
Port Pierce,
Request for 30-Day T
QC\,
Mftpment Services
de Regulation Division
Ave
. 34g82
FaX 772-462-6443 -
Power :Release
RECEIVED
MAY 012022
lit, Luca County, Permitting
Number•
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) -DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A.FINALINSPECTLON. IN CONSIDERATION OF APPROVAL OF THE
REQuEsT Wemmwy A0 N01i1'ILEDGE AND AGREE AS FOLLOWS:
1. This temporary power release Is Mquesma for the above stated purpose only, and there will be no
occupancy of any type, other than that peftitted'by construcdon during this time period.
2. As witness by our signatures, we hereby agree to! abide by all terms and condltlons of this agreement
including Building Division Policy, which is Incorporated herein by reference.
3. All conditions and requirements listed in the attached document entiided -Requirements for 30 Day
Power for Testing" have been fulfilled and the premise is ready for compliance inspection.
4. All requests for an extension beyond 30 days must be. made in writing to the Building Official stating
the reason for the request. Power may be removed'from the site and/or a Stop Work Order issued If
the Fnarinspection has not been approved within 30 days. A fee of $100.00 will be required to lift
the ftp-Work Order.
WE HEREBY._RELEASE AND,AGREE TO H®LD.-HARMLESS;. $T. LUCIE COUNTY;: AND THEIR EMPI OYES=FROM - °T
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE. NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE W.HICH"MAY BE INCURRED DUE TO THE
DISCONNECTION 'OF ELECTRICAL POWER I•N.THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER SIGNA DATE
GEN CONTRACTOR' RE DATE.
CONTRACTOR SIGNATURE