HomeMy WebLinkAbout30 day powerST. ,LUCIE
COUNTY
F L 0 a I b A
Planning & Development Services
8uiicling R ICode Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-462-2165 Fax 772-462.6443
Request for 30-Day Temporary Power Release
f'erma Number:-
Q 2
P, 2 mect Address _Vim? —I n � _ ,q\,,A I _ C_r- — -- -- -- — ---
�E :��1Eh5:vNE� HEREBY REQUEST RELEASE Or ELECTRICAL POWER TO THE ABOVE D=SCr1?cJ
COP, 4 PE;IOD NOT TO EMCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING 3TE"'
A%1� E_)JIPh'EN- IN PREPARATION FOR A FINAL INSPECTION. IN CO"JSID=R;+TIO`l i;= roc rz;F
WE HE,=6r ACI<NOWLEDGE AND AGREE AS FOLLOWS
his ternrk e-1 C^JwEi reledc_. r; lequested fo, the above state) purpose oily, and rher? :. i .•
o•:�pan1 n` an-t type, ether than that perrrntted by ,_onsrructioi •_unrn3 thi; time pC-:rX;
v:itne« ','y" OU' si7naf11rEc, We hereby anrFE t0 abide by all ter,mi and condrbons of -'lli ac e7[,
:c �c 5,jiklnq D•vision Poliry, whv_h is incorporated herein by referer►r_e.
a-�dit o^5 and iequiremens listed in the attarhed document entitled "Regxrerrenrs f:,,. ?•: �„
Pcwe- `orbeen fu(Nled and the piemise is ready for compliance u;Tw cn
41, -equesl_� fo, an extension beyond 30 days must be made in vmtinr3 to the Bo4c ing rrfc•ei s: a
t}f rtasrn fOr the reeuest. Power rray be rEmoved from the site ).nd,a- a stop Worn orG.r
t`w rusol Inspec;oo,i has n0t bet'n approver! w�thin 30 days. A fee of S100 00 w,'I be re-::"
emre•:
^E Stop V;Ork Oroe'
PELEASE AN'D AGREE TO HOLD HARMLESS, ST. LUCIE COUNrr, AND Tr�cIR Eti!=_Gr'E; � -; �'�t A_; <E:_iT;ES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE cUTJR_ t��/T
0= ? r' ` ''.G.'45kr-_n0% INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO TyE
OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGRL-E%IEV
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