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Planning 8'c development Services
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Building & Code Regulation Division
14
2300 Virginia Ave
Fort Pierce, FL 34982
772-462*s2165 Fax 772m*462m*6443
Reqq:..test for 30wDay Temporary Power Release
gate: 03/10/20el.�� permit Number: 201 2-0602
Project Address: 5��`�` �j��=el Blvd Fart Pierce FL 34946. ...... . . .......... .
THE UNDERSIGNED HERFB'�' RE:fUE5i RELEASE OF
ELECTRICAL
POWER TO THE ABOVE
DESCRIBED
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,���.� ern n �co,nn n
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THE
Pt1RPOSE
OF
NESTING
SYSTEMS
Y'I\Vf"C YCI Ir IVRM�LM1IVIJ -vi v ��...i_v••..�....�.�, ..._.. ..._ _.____
AND EQUIPMENT IN PREP-4RA !":UN FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY �.CK(�J'SLE[)GE AND AGREE AS FOLLOWS:
lis r�- � o—I e • :-t�1 ,a ' F t for the above stated purpose i ., and there will be no
.aperjonrenv t�.,j :)- er athat rm't d ri n ri is time.
� . rr++ s Mtn: we hereby agree abide by all terms and conditions of this agr.en..-ment,
hicluding Building I)N-s-.1c it Policy, w1lich is incorporated her hi by reference.
3. All conditions L-�s�ri�+ ii i �� In theattached document "'� ' Requ' ��� foil �Day
�� r T e�
'Rfulfilled riI��� ready for compliance. inspection,
-,a r� r Lx s- and d must made -In lw ri i rig the Building Offic�lal stating
. I I r .�kjts for of
the reason for the r t h Power may lie removed from the sltc-.� and/or a Stop Work Order i i
0)e
Final Inspec+U• 1 I -..within o $100-00will b required lift
not been approved the Stop Work (,-r�ir
WE HEREBY RELEASEAND ,�C RCE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEFS FROM
ALL LIABILI',7.,IES AND CLAIPIS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FUTURE OUT
OF ThII5 TRP,NSACTICiIv, :PJCt.U1)1`N6 ANY DAMAGE WHI.0-1 MAY BE INCURRED DUE TO TfiE
DISCONNECTiQN OF EL,ECTRJC,A[- POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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