HomeMy WebLinkAbout30 day power release2/25/2021 aQT510BUszueRl-Cg9JKhovSibAl5PSuWXP_WCh2lOOdNa02H2g-gtJ6dkN10fRJ1Cd IgYa91JxE0BYgUbjttXX391otBU9bUo4b085Wu...
RECEIVED
_ . FEB 2, 6 7021
Permitting Department
SC, Lactic County
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, Fl. 34982
772-462-2165 Fax 772-462-6443
Request for 30-Day Temporary Power Release
Date:. a lag f 7 024 Permit Number. ;?,C0 (4>' �� Q
Project Address: G? 0C--tooter 1�i ids
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL, pOWERTO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOTTO EXCEEDTHIRTY (30) DAYS, FORTHE PURPOSE OFTESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FdR A FINALINSPECTION. IN OONSMERATION OFAPPROVAL OFTHE
REQUESr WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. Thmbsteemporary power release Is requested for the above seated pta aMy, and Owe will be no
Ly of
that
truction during this Wm
2. As w n amour st hires lrerrby agree �bo a�blde�by all Mims gird mni9tlons fa Ws agregnent,
Indudfng Stllding Dhftn Poky, Wch is karorpaated Iwdn by ream
3. AN mndlfts and requirements fisted In the attached doamentenbledror3D day
Power fortestfW have been WHed and the premise to ready for wmplance Insped-
4. M requests for an adenstan beyond 30 days must be made N writing to the Bulldog Olfdal stating
the man for the request Power may be rmwved from fhe ste ad/ore Stop Wodcorder Lssated I
the final LepedMn has rot been approved wMn 30 days. A ree arwo.00 v49 be req*ed io m
the Sop Work order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, Sr. WCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANYTYPE OF NATURE WHICHMAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSAC tON, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISbONNECfION OF ELECTRICAL POWER IN THE EVENT' gFVIOLATION OF THIS AGREEMENT;
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