HomeMy WebLinkAbout30 day power release WS Lot 5 • • II 12 '�lV lJ
l �
i
I
r n - xay P9annilriRg 8c Dev. loopment Services.
130.11diing &Cnde:. egulation ®,viWon
m 23001lirginia-Ave i
i
• poi ,P_i'elrce, A 3409
E 77.2462-2165 fax 772-4462-6.4.43
I
I
Requ�A for 30-DajV Tibithpora:r��OWe �efoase j
" 1912-0100
Dafie:- , �1�1,���2oZn Permit.Numb�r ,. _ _
Proje'd Address: 5210 Armina Place
i
THE:UNDERSIGNED'HERESY'REQUEST.RELEASE QF�ELECTRI-C -PQWER.TO THE ABOVE DESCRIBED
PROPERTY;.FOR A P1511 100 NOT TO EXCEED THIRTY(30) DAYS, FORTHE:PURPOSE OF TESTING SYSTEMS
ANI "EQUIPMENT IN.PREPARATION FOR A FTNi4c INSPECTION: IN CQNSI'MATION-OF APPROVAL OFTHE_
REQUEST INE'HEREBY.ACKNQWLEDGE AN0.:AGREE:AS:FQLLOW'8;,
i
'1. This.temporary power release is requested-for the,oboVe stub d'purgose only;and"ahere_will beano
becup�ricy Qf any type;other than that pej mitred by coi�strUctign'd4ring:this tithe period.
2, As,�Nitiaess by our signatures,,we herebysagreeito:abide 1)y all ter g and conditions of this agreement,.
lricludfnguildlpg'Division Policy,:Which is incorporated herein by references
;3. All conditians and requirements listed in the attached:document entitled"Requirements. 30.Day
Power far Testlrig"have been fulfilled and,the:preniise-ls ready;for compliance-inspection:
4, 'AII requests for.an extension beyond 30:days must be made In.writing"to".the Building Official stating'
tie ason:for there nest; Power may be..rernwedfirom,`.the site and or a Sto Workbrder issued l`f
C� q Y / i?.
the Final"Inspection has not been approved'within 301 "days A:fee of$500.00_will 6e.required:'to lift
the.§topnWork-Order. i
WE HEREBY'RELEASE AND AGREE TO MOLD HARMLESS; ST LUCIE COUNTY; AND THEIR EMPLOYEES FROM 1 j
ALL.LIABILTTIES:AND CLAIMS OF'.ANY"TYPE OF NATURE WHICH MAY ARISE.NOV QJR IN THE FUTURE OUT
,OF THIS`TRANSAGTION,.INCWDING�ANY DAMAGE WHICH MAY BE INCURRED RUE TO.THE-
L7r5CQNNECT 9 .,OF ELECTRXA PO .ER IIV THE..EVENT QFVIOLAl"ION:QF THIS AGREEMENT.,
I
Kevn_B:orlcen}iagen
QW.N ATURE DATE,
-GENE NTRAfORSIGNATURE. DATE
'ELE- AICAL.COWRACTOR'SIGNATURE DATE
1
I
I i
i