HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE77777,7
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BY
t u e DevelopmLara Services
ntmt;,: '! . .0 FugIod r�� &-Cdde Regci l tie¢ Division.
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Requdst fn 3,; 0-Terrllp�ra _y. Pto�rer i� lease i
i Date: d� ,1 Permit: Number: S►_:� t' `C — 6 1
Project -Address: 'ZS14,
THE .UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO' THE ABOVE'DE5CRIHED
PROPERTY, FOR A PERIOD NOTTO 1rXr_1EED."CH1RTY (30) DRYS, FOR THE PURPOSE OF TESTING SYSCE S`. 1
IaNt7 EQUIPMEfV i IN PitEPAf2ATION FOR A FItVAL INSPECTION. YN CONSIDEItATTON OF APPROVAL OF E
REQUEST WE •HEREBY'ACtWtiWCEDGE ANDAGRFE AS Foams: j
1 fNs''Wmm0drary pourer release,is requested for.the ai oVe.stated purpose:only, and there will be no I
occupancy oI any type, other than that permitted by eonsttuctton during this #Ime' period
2 As wltness,by our signatures; we hereby 2�rei^;to abide by a#l;terrrls and condit#ons.ofahls'agreement;
G mtludmg,8uild#ng pivislon Policy, which !s incorporated, herein by"reference: '
conditions and requirements #fisted -in the attached dacament entlt#ed "Re' uirements for 30 Da i
# Power far 'iesting": have been fulfilled and tnq prernlse Is:ready for compliance, fnspection. y
}' 4 All requests;;forah'e)tt Sion beyond 30'daysmust eetr ade;in:writing•to•the-Suiiding Of�cial'stating
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the reason;"for tine regtaeSt • PoweOnay be removed from the• site and/ar a Stop Work Order Issued if i f
the:Final inspection has not l+een approved vrithirC,: O days.' A fee of $100.Oq_wiil.be;roquired.to lift I� i
the.Sttrp Work:Order:
•;,rCRWE HEREBYRELEASE,AMAGREE TO,HOLD•HARMLESS,ST. LUCIE.C'OUNTYAND-TEMPLOYEESFR M
ALL LIABLITIES NICHMSER'EUUR;YIh1NTfCH
OF THIS TRANSACTi011i; iNCtItJING:ANY 17AN1AGE 1NFiICH NtAY BE:IfVCUR42D.;DUE "CO l HE. f
' DISCON#�ECTION` OF ELECTRICAL MOWER IN THE EVENT OF VIOLATION OFT# IS. AGREEN#ENT.
Of 614 �
OWNS DATE .
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