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Jun 12 07 07:56p HOMETEC BUILDERS
772-288-2139
p.1
REQUEST FOR 30 DAY TEMPORARY POWER RELEASE
DATE:. 6 --"I!-e/l - --
PERMIT NUMBER:
(J &, (;l-{)3s-S-
ST. LUCIE COUNTY BLDG. & ZONING'
_ 2300 VIRGINIA AVE
FORT PIERCE, FL 34'52--5651
Ph. (561) 461-1165
FAX (561) 462-1148
PROPERTY ADDRESS:
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Public Works
THE UNDERSiGNED HEREBY RÉQ1JEST RELEASE OF ~~ TO
TBEABOVE DESCRIBED PROPER.TY~]i'ORAPERIOD NOT TO EX(:fi~w(DTBIRTY (30)
DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN
PREPARATION FOR FINAL INSPECDON. IN CONSIDERATION OF APPROVAL OF
TIlE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
RECEIVED
JUN 1 3 2007
1. This temponu-y power release ÌD requested for tile abmre stated purpose oDly,
and there will be DO 0CCII)I8IIC)' of any type, other than that penaitted by
construction dmjng this time periocL
2.. As witness by our sipatares. we laereby agree to abide by aD terms 2Dd
eoDditio.s of this agreement, iodadÏIIg Building Division Policy, wJüda is
incorporated laerein by reference.
3. AD eonditioDs ~d requiremeåts listed _the aUaehed doeument _titled
~equirements for 38 Day Power for Tes&.g- have been falfilled aad tile
premises is ready fo~ compJiaace iDspeetion.. ·
WE HEREBY RELEASE AND AGREE TO BOLD _ sT'-"LUCIE COUNTY,
AND PI-1U!.lK EMPLOYEES FROM ALL LIABILITIES AND CLAIMS OY ANY TYPE OF
NATURE WHICH MAY ARISE NOW OR Il'!l THE J!UTIJRE our OF THIS
TRANSAcrION, INCLUDING ANY D.AMAGES WHICH MAY BJtINCURRED DUE TO
TBEDISCONNEcnON OFFLËCTJUCALroWERtNTBEEVENTOJi'VlOLATlON OF
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OWNER _
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GENERAL CONTRAcrOR
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SIGNATURE
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SIGNATUIœ
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ELEcrRICAL CONTRAClUR
SIGNATDRE
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