HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE02-26--'19 10:56 FROM- 7728787656 T-139 P0001/0001 F-207
V- in-
Fo�
772-462-:21,
Requdstfor 30-6ay
Date: J\Q �L\,9
Projed Address.
09 1 MR
THE UNDERSIGNED HEREBY REQUEST RELEASE OF I
PROPERTY, OOR A PER-IOD'NOT TO. 9XCEED THIRTY
AND E(ZUIPMENT IN PREPARATION FOR A -FINAL M
PJ�QUI& WE'HE1R�B-YACkN0WLEDi-jE AND Adktt-fi
I. 7h1s teMPGrarY Power riplea-Se2, is muwte.d for -
0WjPancY Or any tYpe, Wier Man that pennitt
2. As witness by.our s�grjptute
S, We here agre
by . ". e
Includitig Building Division Policy� which is incoz
3. A-11 conditions and requirements flst�td' in the'att
Power for Te�ftg"havo-.bwn fiffllM'aind the. i;
4- Aflre4uest� ibr.an e�ftntion beyond 30 days rr
the rea�on'fbr the re a�
quest. -PoWer m be rom,
the Final Inspection ha� not been approvkl wim
the Stop Work'Order.'
WE HEREBY RELEASE AND AGREE To HOLD HARM,
ALL LIM=ES AND .0-AIMS . -OF ANY TYPE OF'.NX
OF THXS TRAN5ACT19N, INCLUDIM3 AN
Y DAMA08
DISCONNEMON OF ELECTRicAL powER, IN THfE I
AM�Qli
mMt Sdevims
116-R''e"g"utation ViVision
AV.P...
SCANNED
�34982
By
i fax'772-462.-64'43
St Lucie Courdy
00'r-aty Power Releas.e
k Mrnber. \S!��
MICAL POWER TO THE ABOVE DESM13ED
PAYS,. FOR THE PURPOSE 0F`7EST'1N'G SYSTEMS
'ION. IN CONSWERATION OF APPROVAL OF THE
� above sMd purpose a*, and there vAH be no
by.cohwuWon -during this timo- period.
abide by-all'tefts and co�dltlons of this agreemerit,
rated hexelin by ref�rence.
'ed document entided"'Requfre�ments -fbr 30 Day
mise is ready fbr compliance inspection,
be:rnade in w0ting to ft Building 'Official stating
A"from the site anOfbr a S6p Work Order issued if
30day.s. A fee af $100-00, Vill be reclbired to lift
ST. LUCIE COUNTY; AND THEIR EMPLOYEFS FR6M
WHICH MAY APISE NOW OR IN THE. F=RE OUT
N'tMAY BE INCUR ED
. RE DU9 TO THE
OF VIOLATION OF THIS AGREEMENT.
75.15-9
57TIVI-4
FEB 2 6 2019
Permitting Department
St. Lucie County, FL