HomeMy WebLinkAbout30 Day Temporary Power Releaseal"'DOV010 nts Oat
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1-i6S* Fax"772-462-641-4
P.equesi-for 30-bay .-T.e',m#dii6�'Pdviter-Petease
By
MAR 14 2018
Date:
Pennit ftmber,\� ( `q r Q) 2S
PnVedAddre= 4:; � Qns
THE UNDERSIGNED HEREBY REQUEST RELEASE OF EUCMjr_AL p0WE.R To
PR,PPF_RTY, FOR A PERIOD NOT V EXCE�D- THIR TY THE ABOVE DESCRIBED
. (30) I?Ay,,S, FOR THE PURPOSE OF'IESTING SYSTEMS
AND EQUTPMENT IN PREPARATION FOR A F'INAL. INSPE M-ON. IN CON5I MA11ON OF APPROVAL OF THE
AEQUEST WE- HERE9';Y AdNOWLEbtE AND AGREE -AS FOLLOWS:
I- TH9 temporary POWer r004% 1S- ri_-quested for the above stated putpOiia only, and there will be nab
occupancy Of any WP61, other fth that 08ridtted by.torisb='Ori during this time period.
2. As witness OY Our signatures, we heresy agree to abide by all terms and conditions of this agreement,
Including Building DM91on Policy, which Is incorporaind herein by refimrice.
3. All conditions and requimm6nts listed in ft attached document ent!dL-d "Requirements. for 30 Day
Power for TeOng,'Bove 'been fulfilled -arid the om�mLoe is ready fbr,cpmpliande inspection.
4. All requests for arL wtansion bEyopd 30 days -must be -made' In writing W the BUIlding'.Officlaf -stating
the rea$oi!for the re4ue_st -PoWer may b6 re-m. oVedfrOm the site and/bra Siop Work'Order'Issued if
the Rn,-A:1nsP6W6n has not'be'ffl' -approved WWn 30 days. A fee of $100.00 Will be required to lift
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLI�r ST� LUCIE C4UNT1, AND THEIR EMPLOYES FROM
ALL LLWILITIES AND.CUkIMS OF ANY TYPE. .OFNATUK WHICH MAY ARISE NOW OR IN THE' FUTURE OUT
'DAmAd`8 wwwnl MAY 'WD
OF 7HS ti�ANSACTPPN, INcLuDINq ANY BE INCUR E DUE
TO THE
DISCONNEMON OF ELEL- M-CAL PbWEk IN*. *4.EVE'W* OF VIOLATION OF THIS AGREEM , ENT.
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