HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE12-12-'18 14:21 FROM-
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RequcibtfbrS, 30—Day I
Date: I
Project Address.
THE UNDERSIGNED HEREBY REQUEST RELEASE OF I
PROPERTY, FOR A. PERIOD'NOT TO EXCEED TKRTY
ANDAQUIPMENT IN PREPARATION FOR A FINAL INS
AEQUESTWE-HEREBYA E -AND A00- A
I. 7his WWWY Power releaSe is ,requested for
occupancy of any type, other than that perm.1tt
2. As witness by our siqnaw..t�-_s, we-
.. . hereby agree
lncludihg Building Division Policy, which is inc01
3. All conditibns and requirements fisted' in the W
Power for Tesang,, have'beAn'fulf&djnd the i
4- Ail request foran Wtenbion beyond 30 days rr
the rea$ori fbr the request, ,
-power may be rem
the Flail Inspection ha§ not bin approved witi
the Stop work Order.
WE HERBY RELEASE AND AGREE TO HOLD HAW
ALL UABILMES AND CLAIMSbr- ANY TYPE 95,1%
OF THIS TRANSACTION, IMCWDIN'
G ANY DANEAG
DISCONNECTION OF: ELECTP=L POD, EK IN THE
Power Rzeldase
Wfimber. N� c) — � -).., !I�A
rw
TRICAL POWER TO THe ABOVE DESCRIBED
-PAYS, FOR THE PURPOSE OFTEStING SYSTEMS
WN. IN CONSIDERATION OF APPROVAL OF THE
� above sbW PuMom only, and there vdfl be no
by .construction d6ring this the period.
abide by'all terms alld coridrdons of WS agreemerit
,diBd hereln by reference.
led document entitled "Requirements -for 30 Day
vise is ready for compliance inspection.
t be- made in writing to'the BuildingofflCial stating
id 'from the site and/or a ' . / Stop Work Order issued if
30 days. A fee of $100.00-wilt be Mqu-ired to lift
ST. LUCIE COUNTY, AND THEIR EMPLqYEF_S FROM
WHICH MAY, ARISE NOW OR IN IHE FUTURE OUT
�f -MAY BE INCUMD DUE TO THE
"OF WOLA-90N OF THIS AGREEMENT.
DATE
WE