HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE19 11:13 FROM- 7728787656 T-888 P0001/0001 F-450
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172- Fax.77g_46j_jS.443 AUG I 17014
Permitting Depa,tm'-
St. Lucie (71""
ft-que,it''for 30-0af TOMParary' Power ReMase
Permt,Njlvnber.\�OPv
t Address.
UNDERSIGNED HEREBY REQUEST RELEASE 'OF ELECTRICAL POWER TO THE ABOVE DESMSED Ucle countv
DERTY, FOR A PERIOD NOT TO. EXCEED THIRTY (�) -DAYS, FOR THE PURPOSE OF'TETTING SYSTEMS
EQ.LIIPMENT IN PREPARATRIN FOR A FINAL INSPECMN. IN CONSIMRAMON OF APPROVAL OF THF
JEST W-E`HERtBY ACMWM;E -AND A, AS F61LO4lWS:
L This ZWWrarY PC)W- redda_% is requesta.4 fbr the aboye sad PuWft onlY, and tim WIN be w
occupancy of any type, *p6er than that p.kmftd by Won"duirMg this time penad.
2. AS witness by our sWnvhir*s, We her Wall bat M-s and con'didors of tins agrmmerk
.0yaq*tt>abidP, '
indildlilg RuAdlng Division Policy, which is Incorp r d herein by yeftrence.
3. All cor)ditibris and requimfndnts tisi ed fn the attathed docu'Ment ent%Od -Reqtfffements for 30 Day
Power for Tesfifigff hawbetn fuMfled-ind, the- Orem- Ise is ,ready far co mpymce '
inspection.
4. Allr�questt for an. adention beyond 30 days must be: made in writing tD the Building Official stating
the reason for the request. -Po ' Wer may be' removedftm the StMe and/or a Stop WorkOrder issued if
the Final Inspection hat lot been approved within 30 days. Afee 0f$100.00,Wjlberequired bDlflt
tote stop work order. '
HEREBY RELEASE AND AGREE To HOLD, jgRmLESS, SM LUCIE COUNTY$ AND THEIR EMPLOYEES FROM
AulLIABTLITIBAND QLAIms -OF ANY -TYPE oF,NATuizE wmc.H MAY ARISE NOW OR IN THE FUTURE OUT
No !NCUPIR� ANY DAMA D DUE TO THE
OF TjH�$.TRANSACTIQ it0611CHAAY BE INCU I
f- .: , ** - 1. RRE
DI ��NwcrMN CF kh&RIQj PoWtR IN THE EVENT OF VTOLATIOtq OF TM AGp ,EEMff4T.
DATE