HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEi
07-23-19 09:37 FROM-
7728787656 T-793 P0002/0006 F-270
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Pl�ii >i iri v OD> rerti Sergi{ces
2.3 ¢ YiFrgFnia Ave
P�iM. " drte •fit • 82
772-�462Fax 772-462-6443
Requl iA*for 30-Day Tempbrary Power" Release
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UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
DERTY, FOR A PERIOD NOT TO EXCEED THIRTY- •(3p) .DAYS, FOR THE PURPOSE OFTESTING SYSTEMS
EQUIPMENT IN PREPAFtMGI FOR A.RNAL INSPE�,TIGyN. IN CONSMERATIQN OF APPROVAL OF THE
JEST WF:-HAY ACKNOWDGE AND AGREE AS FOLLOU 9-
3. This hmPrarY power reldase is remes�d for the above eked purpose• only, and therie vaa be no
occupancy of any type, pther than that permitted by toilStrucpon during this time period.
2. As witness by our sian*e*,s, we heTejy agree tb abide by all terms and -conditions of this agreement,
including Building Division .Policy, which is incorporated herein by reference.
3. All conditions and requirements fisted in the a Udled document entitled "Requirernents for 30 Day
Power for Testing" have beers fulfilled and the premise is ready for com liance i
P nspeW°n•
4. A11 requests for arl odention beyond 30 days must be- made in wriung to the Building :Official sbtlng
the rea$orf for the request. Power may be removed"from the site and/or a •Stop Work Order issues if
the Fira•Is-+ PdWon ha not been approved within 30 flays. A fee of $100.00 will be required to lift
the Stop Work Order. .
WE HEREBY RELEASE AND AGREE TO HOLD HARMLES.S, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LlAB'LMES AND •CLAIMS OF ANY TYPE .OF)YATURE WWCH MAY ARISE NOW OR IN THE FUTURE OUT
OFI7Hi5 TRANSACTION, INCLUDING ANY DA14AGf 1N.HICH-*MAY BE iNCUk p DUETO THE
DISWNNEC710N OF ELECTRICAL POWER R4 THE EVENT OF )a0LAT%QN•OF THIS AGREEMEN T.
RECEIVED
JUL 13 2019
Permitting Department
St. Lucie County, FL