HomeMy WebLinkAbout05100315 (3)
FROM :Construction Team D G
FAX NO. :772 429 0742
r 07 2006 10:24AM P1
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St. Lude County ~¡f (/ -./~
Building & Zoning Department · 0c> ¿ 0A
2J(H) Vlr-ginia A \'cnue ,~ ~
Fort Pierce, FL 34982 /
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Request for 30-Day Temporary Power- Re'eas~1 d.q..:3
Permit Number: ~LC 0 51!) ..Da IS-
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Date: §. '7.... f) 7
Property Addr-ess:
ì O~.. 1 «.t~ ~r sh :r..rk C, rc,(e..
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE
ABOVE DESCRIBED PROPERTY. FOR A PERIOD NOT TO EXCEED THIRTY (30) ÐAYS, FOR
THE PURPOSE OF TESTING SYSTEMS AND EQUJpMENT IN PREPARA nON FOR FJNAL
INSPECTION. IN CONSI»EJb\.('JQN OF APPROVAL OF THE REQUEST WE HEREBY
ACKNOWLEDGE AND AGREE AS FOLLOWS:
J. ThIs temporary power rele8$CI k reqUéSted ro.. the above stated purpose o."y,
Uld tlaere will be no oceupabcy of any type, other than that perlhitted by mllStmdlou
durJna thIs time period,
2. As -itaas by our sI....lures, Wi hereby .... to abide by aU ~ and œndidohs ,
or this aveetnent, ...dud.... BulldJ... Divlllon PolJcy, wIdth Is Intorpo,.ted _Ja by ftfertace.
3. All eondIdó.. and requirements Usred In dae .t..dled doeumeac ..tied
·'Requfrements tOt 30 Day Power for Tad.." ".ve bee.. fulmled .ad arC! pftlQfse Is l'ady tor rompIfuœ iaspecdon.
4. AD requ.,. tor a.. exteD$fðQ beyOhd 30 days must be _de In wrldlll" tire BaßdJ., 0IIida1...". tile I"eMOn
for tile reqllUt. POwer may he removed from th~ site atadlor a Stóp WGI'k Order ISsbed If'thf ..... lnspectiml
lIu not been approved wit" 30 days. A fee of $JOO.oo wJH be required to JIh die StOp Work Order..
WE HEREBV RELEASE AND AGREE TO HOLD 'HARMLESS, ST. LUCIE COUNTY, AND'
TIfEIR EMPLOYEES FROM ALL LIABILITIES AND CLAIMS or ANY TYPE OF NA TVRE
WlIlœ MA v ARISE NOW OR IN THE FUTURE OUT OF THIS TRANSACnON, INCLUDING
ANY DAMAGE WHICH MAYBE INCvRIum DUE TO THE DISCONNECTION OF
ELECTRICAL POWER IN THE EVENT OF VIOLA nON OF 1BJS AGREEMENT.
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I.~ì' ..LEC'1"RICAL CONTRA.CTOR SI
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