HomeMy WebLinkAbout30 Day Temporary Power Release.16 fSem
ces
din DiViWbn
i4ln'ia. Ave kE_C_E1
i�dl A-14062 VED
FAX 772
P-eq:uc�ti'fot:30-Da,y-:'t.!etn-porary ower'
Date: PerM,!tNi)rnber,,\ xn C�
Prqezt Address. C'k—p'(D. �
MAY 2 2 2018
!LLUcie County, Permitting
THE UNDERSIGNED HERESY REQUEST RELEASE OF ELECTRICAL POWER To THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT.TQ EXCEED THIRTY (30) -I)AYS, FOR THE PUROOSE OF I ES-1 NG SYSTEMS
AND EQUIPMENT IN PREPARATION *FOR A FINAL INSPECTION. 'IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE - HEREBY ACKNOMIENT.E AND AGREE - AS FOLLOWS.-
�
1. This temporary power rejoSe 1S ri9quested for the abN5te
O a d Pu qaose only, and there Wlflbe no
occupancy of any We, Wier than'that permitted by construction during this time period.
2. A5witness byour fgnature W� her0by agriee th abide by -all terms and
-$I conditions of this agreemerit,
Inctudihg Building Divigion Policy, which is incorporated hOrein by reference.
3. All conditions. and requirements fisttd In Me attached docurnent enMed 'Requirements for 30' Day
Power for Testing" hve,been 'fuffilied"arid the premise is ready for compliance inspection.
4- AJI rlequests for an. extension biappd 30 days must be;made in writing to the Sjilding'official -swing
the No$orf fdr fhe reopest. :PoWer may be removed' from the site and/br a, Stop Work,Order'issued If
thO F4na1:Inspd&6n has not been 'approved %Aftin 30 days. A fee of $100.00 will be required to rift
the Stop WorkOrder.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLE-14 LOYE.
ST. LUCIE COUNT�, AND THEIR EMP ES FROM
ALL UARXITIES AND CLAIMS -OF ANY TYPE OF .NATURE WHICH MAY ARISE NOW OR IN'THE FUTURE OUT
OF THxS.TRA. N-S�kCTION,1K.W. Dlhd ANY DkOOE -W1'HTCfi:`M'AY BE INdU
kR.ED. OUE TO THE
DISMNNWWN OF ELECFRICAL POWER tN THEE— fbfV10�A-RONOFTHIs
VEW AGREEMENT
OWNER SIGNATURE DATE_C��\r_�
GEAff.ONTRA S
t. CMR AE
DATE
ELECTRICAL CONTRACTOR SIGNAIM DATE'
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