HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE02-0 2 FROM- 14:5 77287876b6
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St. Lucie COWN
772-462;ZIZS FaX 772;-462-6443
R-eq-06.4-ft 30-ba'Y-Tem, jpOkiiry'PdwerAefease
Penn t Date., 'p, Member.\
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PrAcde: t Addrem
THE L NDERgGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWFR TO THE ABOVE DESCRIBED
PROPTY, FOR A. PERIOD NOT -lb EK-CEED-TMTY,(30) PAYS, FOR THE PURPOSE OFTESTING SYSTEMS
AND EQ,UIPIVIENTINPREPAPAriah FOES AFECM INALINSPN. IN CONSIDBIA7ION OF APPROVAL OF THE
pj:-Qu WE -HI Y ACKNOWLEDGE AND AGREE'.AS FOLLOWS:
I. 7M teniprary poww reldase is requested for the above stated purpose only, and there will be no
occupancy of any type, Other than that permitted by oohsVuction during this time perlw.
2. As witness by our sfqpores, we hereby agree to abide by all terms and conditions of this agreement,
includfhg Building Division Policy, which is incorporated N!refn by reference.
3. All conditions,and retIuiremepts fl9W ' in the attached document entitled "Requirements -for 30.Day
Power for Testing" !lave been fulfilled and the -premise is ready for -compliance inspection.
4. All requests for pn. extension beyond 30 days must be• math in writli7g to the Building :,official -stating
the lean` for the request Power may be rernavec!"from the site and/or a Stop Work Order Issued if
the Final Inspecdon has not been apptoved wits in 30'days. A fee of $100.00 will be required to rift
the Stop Work Order.
WE RELEASE AND AGREE TO HOLD• FLARMLES.S, ST. LUM COUNTY, AND THEIR EMPLOYEES FROM
ALL IMES AND .CLAIMS OF ANY TYPE OF NATURE -WKG.i MAY ARISE NOW OR IN THE Rrrun OUT
OF S TR-,ANSACnQN,.TN-qLUD1NG ANY 'DAMVE %WHICH, . MAY BE INCUPRED"15 UE TO THE
DISCO. ON OF ELECMCAL POWFA IN THE -EVENT OF VIOLATION OF TES AGMMEW.
OWNEF PFIGN DA17
DATE
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