HomeMy WebLinkAbout30 day power release WS Lot 4
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�anrasa�g °� e�elo�ret ;5.e�v B� uoes ,
0UAlda>Itig' Codeogulaon Division
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.2300 Vir inia Ads
Fort 110iorce,'f
:9 .7 7,2-462 2165 FaX77,24.6-2 6443 I
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ee ae t for O 'Day Yempdrary k er ksl6ase.
Dade; •�" oi2y! Petit"Number: 1912-0098
Project Address; _.
5214 Armina Place
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TQSDHEOREUES . ELEASOFEC0b .H ERGN ' Q T.1WAt THE ABOVEDESCRIBED
PROPERTY,_POR A PERIOD>NOT TO'EXCEED ED THIRTY,(30)DAYS,FOR�THE.PURPOSE OF-TESTING.SYST-EMS
AND EQUIPMENT IN PREPARATION FORA FINAL IN IN CONSID�RAT.ION OF M,_. AL.OP THE {
REQUEST WE'NEREBY ACKNOWLEDGE:AND:AGREE AS I=OLLOWS;
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i This temporary power relea$e is requested for
of ot
the above stated purpose only,and there will be rio i
occupancy any`type, her t*that permitted by construction during this time period. E
z As witness by uur signatures,yye hereby agree to abide Py all terms and condEtions of this:agreement
Including Building,Dlvlsion. Po1Icy.;*hIch_is Incorporated f erem by-reference
3: AII'conditions and'requirements.11sted.In the attached document entitled^'Requirements,for 30 bay
Power=for Testing"have'been fulPlied and the prenilseas ready for compliance fhY o.ectlon..
�}: All requests for an,eXtenslon beyond 30 must be.tnade in writing to:ahe Building Official`,Stating
the reason for the request .Powermay.be removed from the slteand/or a Stop 111rork:Order.issued"If
the Final.,,Inspeetfon has not been>gpproved.-wlihin 30 days. A fee.of$10Q.00 will be:requlred.to lift
the:'Stop Work. rder.
WE"HEREBY RELEASE AND-AGREE TO HOLD HARMLESS; ST LUCIE COUNTY;AND THEIR EMPLOYEES FROM
ALL.LIABILITIES AN CLAIMS Oi='ANY TYPE 01=NATURE WHICH MAY ARISE.NQW OR IN THE 1=.U,Q OUT
OF`THIS TRANSACT IQN,;INCLUDING ANY DAMAGE WHICH.NiAY:'BE IIVCl1RRED DUE TO THE:
DISCONNECTION.OF ELECTRICAL-,P WER IN THE EVENT OF VIOLATION`OF THIS AGREEMENT;
OWNER .I N E DATE 1
iosQph,:Spalf i
GENERA RACTOR SIGfUATU( E DATE
ELECT IC;AL CON1RACT09 SIGNATURE DATE
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