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Jun 12 07 07:57p HOMETEC BUILDERS
772-288-2139
p.2
REQUEST FOR 30 DAY TEMPORARY POWER RELEASE
DATE:. ~_'/ (-07"
ST.. LUCIE COUNTY BLDG. & ZONING'
_ 2300 VIRGINIA AVE
FORT PIERCE, FL 34952-5652
Ph. (561) 462-2165
FAX (561) 462-1148
PERMIT NUMBER:
PROPERTY ADDRESS: ~
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THE UNDERSIGNED HEREBY REQUEST RELEAsE OF ~~ittk TO
THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED TïDift (30)
DAYS, FOR THE PURPOSE OF TESTING SYSTEMs AND EQUIPMENT IN
PREPARATION FOR FINAL INSPECIION.· IN CONSIDERATION OF APPROVAL OF
THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
RECEIVED
JUN 1 3 2007
1. This temporary power release ÌD -"Quested fer the above stated purpose oDly,
and there wiD be DO oecapaøc:y of aa.y type, other dum that permitted by
COnstruetiOD dur:mg this time period.
2. As witness by ear sipatares. we hereby agree tø abide by all teras aDd
conditio.s of this agreetDent, iDdudiag Building Dirision Poliey~ wJùeh is
incorporated herein by refereaee..
3. All eODditions aud requirelDeåts listed ha the attached doeumeut eatitled
aRequirements fer '38 Day Power for Tes&ag- have heeD falfiDed aDd tile
premises is ready fO! eompliuee inspection.. ·
WE HEREBy RELEAsE .AND AGREE TO HOLD ~ s-t""LUCIE COUNTY,
AND TBDR. EMPLOYEES FROM ALL LlABnxrms AND CLAIMS OF ANY TYPE 01'
NATURE WHICH 'MAy ARISE NOW OR IN THE F1TI1JRE OUT OF THIS
TRANsACTION, INCLUDING ANY;DAMAG.E8 WHICH MAY BE INCURRJID DUE TO
TBEDISCONNEcnON OFELÈCT.lUCALPÒWERlNntEEVENT OFVIOLAnON OF
AGREEMENT.
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OWNER
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GENERAL CONTRAcrOR SIGNATURE-
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SIGNATURE
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SIGNATURE
ELECTRICAL CONTRACTOR