HomeMy WebLinkAbout30 Day Temporary Power ReleaseRECEIVE®
Btilerfs'+fm4e'1�eglion'Div sin�UN 2098
ST. Lucie County, Permitting
FQii���l�d'�2; �� •34��� . .
172-46-24i,'65 Fax772-462-6443
. --eigUiiA Oli 30D=day-TeimnO ir'a' VdWer'`te1ea'se Y
Date: U ��WL. Permit -kmber: Q\10 "` l
"ect Address: x. C::1
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, f=OR A PEPIOD NOT EXCEED-rHIRTY (30) DAYS, FOR THE PUOOSE OF"YES TTNG SYS i7EMS
AND EQWiPMENT IN PREPAf� noN FOR A FINAL INSP€M- 10N. ITV CONSIDERAMON OF APPROVAL OF THE
RkEQUi=ST WE -HEREBY ACKNO LEi)G€ ANb ACE AS FOLLOWS:
I. This terrrpotary povtper reldm is. r�uested far the above slued Purpose only, and tore will be np
oecuparrcy of any type, other than that permitted byrohstruoiion during this tire* period.
2. As witness by, our signatures, Wi • hereby agree tb abide by -Al terms and conditions of this agreement,
inciudiiig Building Division. Policy, which is incorparatd herein by reference.
3. All conditions and *uirements fistedin the attached document entitled "Requirements for 30 Day
Power for Testing" have been fulfified'arid the premise is ready for c.ompfiance inspection.
4. Ali 'requesL� foram distension beyorfd 30 days -must be, .made in writing to the Building OfFrcial-siating
the tea$.on' for the rouest.:Po,wer may be reriaoved'from the site. and/or a Slop Work Order issued if
the Final Inspection has not been -approved within 30 days. A fee of $100.00 will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, STD LUC,'IE COUNTY, AND THEIR EMPLOYEES FROM
ALL VABIL,ITTES AND .CLAIMS -OF ANY TYPE: OF:.NATURE WHICH MAY AME NOW OR IN THE FUTURE OUT
OF THP.TRANS�ICTION, INCLUDING 'ANY 'DAMAGE i►lftiIM.:•MAY, B . INCUR . QUE TO THE
DISCONNEL-aON OF ELEGTPJCAL POWER IN. THE EVENT OF WO A71ON OF THIS AGREEMENT.
o�nrN�� _ aA-i=ir
GF-NEcol rC N' RE IIATI�
OLti-J MOO LOOOd 990-1 999L8L8ZLL -Woad Lg= L L 8 L 6 L