HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE04'04-'19 11:12 FROM-
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2310.0-V-1'
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Fo.rt".0i FLIA98.2
7,72-462-21,65 Fax
Request for 30-May Temoorary PC
Permit Wimber:
Pr'ojed Mdress;
TH, rz UNDERSIGNED HERESY REQUEST RELEASE OF ELECTRICAL POW
PROPERTY, FOR A. PMUOD'NOT TQ
E =-' EED THIRTY (3,r 0) -PAYS FOR I
AN'b EQUIPMENT IN PRLPM�()NMR A FINAL IF6 (y MN. IN C01
Pi QUEFST. WE'HEIIEBY ACMOVRWGE -AND A6$a-AS .F6U0WS.-
I, This terrWWY power rOM is ;qvested for the above staW purl
occupancy Of any We, other than that permitted by cok> tmon d'L
2.. A$ witness by our signs -a abide Wpas, we h&-eiby '
grge th ab by an f;trms
induchiig 13011ding Division P61!Cy, which is incorporated herein by rel
3. All conditibris and requirements ftad-'in the attached document end
Power' far TOfifigiff have been fulfilled.aind the premise Is ready for C
4- AM requests f6rian. aftn§ffon beyond 30 days must be:made in Wftr
the reason for the reques
t . st. -Polder may bei remoVeffrom the site an
the Final Inspection has not been aPPr0vW within 30 days. A fee a
the Stbp Work Order.
WE HERMY RELEASE AND AGREE TO HOLD HARM
I � . LESS, ST. LURE COLU
ALL U4aTLMES AND .aAims'.6FANY TYPE OFNATURE WHXH MAY AR
OF.713$TRANSACTION, )NC�,UDINC?ANY DAN-AG .
E'VVHjQfj:'.MAy B'
E INCL
DISCOMEMON Of a=WAL POWER IN THE EVffU OF WbLAI-70N
T-323 P0008/0010 F-500
slervic" SCANN8D
BY
St. Lucie County
. RECEIVED
APR 0 4 7019
Permitting Department
St. Lucie Countb
(0 _0(0021
TO THE ABOVE DESCRIBED
PURPOSE OFTESIING SYMEM
DERATION OF APPROVAL OF THE
only, and them wM be no
this time penod.
COnditfOrls of this agreement:,
d "'Requimments for 30 Day
'pliarice inspection.
W the Building Offidal stating
or a Stop Work. Order Issued if
, 'I .00.00, WHI be reqWred to lift
AND THEIR EMPLOYEES FROM
NOW OR IN THE FUTURE OUT
W E
THISDUAGTO THE
DATE %
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