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06/07/2007 02:49
7724626454
SLC CODE ADMIN
PAGE 01/01
. St. Lucie County . Fl E C
Building & Zoning Department E1Veo
2300 V¡\"gjnia A venue JUN
F on Pi~rce~ FL 34982 0 8 2007
772462-2165 PUblic
Fu 112-462"'6443 St. LUCie C Works
ounty, FL
Request for 30-Day Temporary Power Release
Date: ~/1 /Q7 PennitNumber: Obi ,a,-()r/7 5
,
Property Address:. '3 7 Rn "0' V ; if!'; .- ~ \)
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 FINAL
INSPECTION.. IN CONSIDERATION OF APPROVAL OF THE 'REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLI~OWS:
1. This temporary power release is requtsted COt the above stated pnrpose only,
and there will be DO occupancy of Bny type, otber than that permitted by construction
during this time period.
2.. As witness by our signatures, We bereby agree to abide by all terms and eObditions
of this agreemeDt, including Bnilding .Division Policy, which is incofPorated bereiu by reference.
)" AD tonditions and requirelDents listed iD tbe. attached document entitled
¡'Requirements for 30 Day Power for Testing" u,e been fulfilled and the premise is ready 'for compliance inspection.
4. All reqDtsts for an extension beyond 30 days must be made in writing to the BniJding OftitiaJ statiDg the reaSOD
for the request. Power may be removed fl:-om the site and/or a Stop Work Order issued if the Fina.l Inspection
has not been approved within 30 days. A fee of' $100.00 wiJI be required to lift the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND
THEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE
WHICH MAY ARISE NOW OR IN THE FUTURE OUT OF Tms TRANSACTION, INCLUDING
ANY DAMAGE WmCH MAY BE INCURRED DUE TO THE DISCONNECTION OF
ELECTRICAL POWER .IN THE EVENT OF VÎOLA ON OF THIS AGREEMENT.
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