HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE8
09-2(3--I2006 12:18 ' JESSICA 77P-5-99-2427 PAGE1
V �f LVf LVVV iV. JV ! fL Vf I1 M'0 LI\L FYI I{! 1\4 Y.�'1'_'_lJ 1 r%gA Vi
4
St, Lucie County
• Building & Zoning Department
2,100 Virginia Avenue
. " Fart Pierce, FL 34M RECEIVED
a 21
x,s 7 zoos
Request for 30-Day Tcmporlary Power Release I3 --
Permit Number:„_
k,i perry Address; 41,���sS....�.�t-�.x��6f����.w.L�,�...�...i.,�.�
' R UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE
4 MOVE DESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY 130) 6AVS, FOR
t �E PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR FINAL
iMPECTIOH, IN CONSIDERATION OF API'ItOVAG OF THE REQUEST WE HEREBY
4 KNOWLEDGE AND AGREE AS 1-41,1,()WS:
c
I. This iCtnporar} power release it retlutstq for the above %tinted purpou unly,
and there will br np "CliptinCy of and i}'po, pihtr thiin thNt WRtitt4d by eonsYtruCtiun
during this time period.
2- AS witness by nur sigr„tttiree, we bereO� vOrte tv abide by ail trrMS and Condilion*
of thlr• agrecMeaf. ittcluaing Ouil(linb Vivifltn Policy, which is incorporated btreln br rrference,
t. 0.11 conditions an 0 rCqui;*4mRnta listed In the attached document entitled
"Requirements for 30 pay Power for 1'artittg" have peen W111110tl and the premise is ready for tampiiance impaction,
a. All req;,eats Per an extension beyond 30 dityx must be Inv* In µriling to the Htltlding Ofti ;nl statinr, the feaA(1ri
for the request. rower rosy be remdvpd i'mm the site andrt�r a Stop ►York Ordco issued Ir Iht >flnal Twipertinn
has not been APP►bVed W11111a 30 days_ A tcc of 31%()o will be Tf!Qaired tv lift the S1917 Work OrdMr.
iscxF,)JY RELEASE, AND AGRKE'I'O HOLD HARMLESS, ST. LUCIE COUNTY, AND
lR EMPLOYEES MINI ALL LIABILITIES AND CLAIMS OF A" rrv;E OF NAMUS
C:" MAV ARISE NOW OR IN !'IJE FUTURE OUT 4E THIS TKANSACTION, INCLUDING
DAMAGE WHICH MAY Bt INCURRE0 DUE TO THE: DISCONNECTION OF
.TRICAL POWER IN THE VVENTOf VIOLATION OF THIS AGREEMENT.
!�'R SIG:v
'� AT�tR�:
L.1 ON'I'ftAC-m—T(Y--R-.q—j
DATE
VA T h,'
Da�TE'
r