HomeMy WebLinkAbout30-DAY TEMP POWER RELEASEsJurti=n
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_ 'l3�� 'S Fex.772-462-6493 - Sf Lucie Count%, -
Requ"t-for36-Day Tempolrary Power Release
pate: Oo'r- f�f —,�0�0 Permit Number:
Project Address: `'��f(//�ZE�
THE UN NW HEREBY UESTRELFASEOF LPOWERTOTHE ABOVEDESCRIBW
PROPERTY, FOR A PERIOD NOTTO B(CfW THIRTY (30) DAYS, FORTHE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FAVAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested for the above Staked purpose only, and therq will be no
occupancy of any type other than that pan %f by construction durIng thistime period.
2 As Witness by our signatures, we hereby agree to abide by a0 terms and conditions of this agreement,
including Building Division Policy, w1fth is Incorporated herein by reference.
3. M axtoons and retuseme nts listed in the attached document entitled Mequiremerds for 30 Day
Power for Testing" have been AMW and the premise is ready for cvmpliarroe Innspeftn.
4. All requests far an extension beyond 30 days must be made in v iting to the Building Official stating
the n for the inal Dtspectlon has omiot been apposed within 30 days. A fee Power may be removed from the site $100.00 will be required to fdtf
or a Stop Work Order Issued I
the F
the stop Work Order.
TO HOLD HARMLESS, Sr. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
LNYTYPEOF MATURE WHICH TRAY ARISEXOW -OR IN THE FUTURE OUT
Q tip Y b*4AGE WHICH MAY $EINCURREb FAZE TO THE '
i6kkRMTHE0ENTOFVIOLATIONOFTHISAGREEMENT.
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` 10'19-4t 05 Fax 772-462-6443
Request fdrMoDay Temporary.Power Release
Date: Off- o10 Permit Number: 1910 _
PrOjectAddress.'--M(21 kcdori • zt, ijcrccC
a"/ 01f,W d6 AaU_*MP, O/T �/Irve
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECT CAL 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 FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST. WE HEREBY ACKNOWLEDGE 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 construction during this time period.
2. 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 entitled "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 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, Sr. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LiABILI71ES AND CI:AIMS:IjF ANY`TYPE:OF NATURE WHICH'MAY ARLSE.NOW OR3N THE FUTURE OUT
OF THIS•TRI AcaON, INCLUDING ANY.bAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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