HomeMy WebLinkAbout30 Day Temporary Power releasev opmen r@v.!cw.-.x
P101pliv.-AL'b", oil
Bi Ing, e 4"tldn
Jog Ave
A. 194092.
772-4624i'65 Far 772-4-61-i6443
R-eqUeift-fo .50 0yT-,
M
Date: Permi ftmber: \V1 (0(,
Project Address,:
MAR 13 2018
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE A13OVE DESCRIBED
PROPERTY, FOR A. PERIOD NO * T% EXCEEDTHIRTY (30) -PAYS, FOP, THE PURPOSE OFTESTING SYSTEMS
AND EQUIPMEW IN PREPARATION FOR A FINAUNSPECMN. 'IN CONSIDERATION OF APPROVAL OF 7HE
AEQUEST WE KEREB'r ACINOWL-EbtEmb AGREE As FOLIO'( s:
1. ?his tanpwary power room is -requested for the aWve stated purposeonly, and there vAll bt no
occupancy of any type, 9ther than that perMitted by cofi$racoon during this EM6 period.
2. As'wltness by our signatures, we hergby agree tb abide by ail terries arfd conditions of this agreement,
including Building DiVigion Policy., which is incorp6rabw hO,eh by reference.
3. ' Ail conditions and rrAMIrements fisted'in the attached downent entitled "Requirements for 30 Day
Power for TesUtiqP have' been'fLlfilled'and the premise is ready for-cornpliance inspection.
4. All rlequest� forznedan!siton beyond 30 days -must be,:made in writing W Met Building Wicial -stating
the reason'fbr the request Power may'be mmoved-Trom the site an;ffbr a Stop Work order issued if
the FlnEWInspkit-6n has not tieen approved Within 30 days. A fee of $100-00 will be reqbIred to Ift
the Shop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLFSS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LLABIUTIES AND CLAIMS -Or- ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN'THE FUTURE OUT
OF THIS SACTION, INCLUDING 'ANY DAMArpE WHI(R"MAY OE INCURRED DUE TO THE
D3SC6h=ON OF ELEC M-CAL PbVVER IN THE EVENT OF VIOLATION 01= THIS AGREEMENT
NNER SIGNATURE
-:Av2sXN,<i-
DATE
DAT.E
DATE
089-1 S000A000d m-1 999L8L83LL _W08J 69:3L 8L1_6L_80