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REQUEST FOR 30 DAY TEMPORARY POWER RELEASE
DATE: St. Lucie County Comm. Devel. Dept.
Code Compliance Division
2300 Virginia Avenue
PERMIT NuMBeR: Fort Pierce, FL 34982-5652
Ph. (5611 482- 2165
(2? iao 111100,5
PROPERTY AODRess.
0 7 2002
County Public Works
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO
THE ABOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED TH'RTY (30)
DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARA-
TION FOR FINAL INSPECTION, IN CONSIDERATION OF APPROVAL OF THIS
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
9 . This temporary power release Is requested for the above stated purpose
only, and there will be no occupancy of any type, other than that permitted
by construction during this time period.
2. As witness by our signatures, we hereby agree to abide by all terms and
conditions of this agreement, including Building Division Policy, which is
incorporated herein by reference.
3. All conditions and requirements fisted in the attached document entitled
"Requirements for 30 Day Power for Testing" have been fulfiiled and the
premises Is ready for compliance inspection.
We hereby release and agree to hold harmless, St. Lucie County, and their employees
from all liabilities and claims of any type or nature which may apse now or in the future
Out of this transaction, Including any damages which may be incurred due to the
disconnection of electrical power in the event of viojation Of this agreement.
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