HomeMy WebLinkAboutRequest for 30-Day Temporary Power Release11-19-' 19 14:21 FROM-
Date:
Prgact Addre=
7728787658 T-199 P0001/0004 F-033
Pi:ItiAte9 ptnees
Ci 4I� '�C E'ifE' C6 CoH7lwo-mr, RECEIVED
,.•• NOV 19 2019 •
/72 65 M 772-462-6443 Permitting Departmen-
St. Lucie Count"
u` of 3- 04"�"Pdwer feWse
Perffiit Number- \Cv) 3 — Q) S11k
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL pOWF.R TO THE A30VE DE,SOUBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY 430) DAY5, FOR THE PURPOSE OF TESTING SYSTEMS
ANb EQWIPMENT IN PRr:PARATIQN FORA FWALINSP.Ei MN. IN CONSIDERATION OF APPROVAL OF THE
RIEQU STWEHAYACKWOlfati. ?3EAND AGi 'AS FOLLOWS:
1. 7his temporary power release iS requested fpr the above -stated purpose only, and there wlp be rao
aebupancy of any type, Wier than ghat permiided by torsia uction during this tfma period.
2. AswitneSs tiY our $i9rratures, We pereFsyag .fk� abide by all tm and co6drdons of this agM=ej ,
Induding Bur7ding DMiion FoI1Cy,,which is IncorlidrkW herein by rofereno�
3. All condrdofls and requir Meats Osted in the alldiW document entitled "Requirements fbr 30 Day
Pander for'Tm,. 119' tiaue'baon fulfilled acid the premise Is ready for compliance inspecdon.
4. Ail request$ for an extension bind 30 days must be:rnade in wridng to the Buiiding of8dai sianng
the maiDi i fbr the requesL Polder maybe remodenbrn the Slimand%r a Slap Work Order issued if
Me *A InspeWon has not Veen approved within 30 -days. A fee'of $Y00,00 Alf be required to rift
the Stop Work Order.
WE KEREBY RELEASEAND AGREE TO HOLD
ALL LIABiLIrZS AND CLAIMS OF ANY TYPE
0
5% LUCIE COUNTY, AND THEIR EMPLOYEES FROM
WHICH MAY ARISE NOW OR IN THE FUtURE OUT
T? MAY BE INGUk< tD DUE TO THE
OF VIOLATION OF THIS A1GR
DATE