HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE7728787656 T-931 P0002/0006 F-546
0117-'19 .14:44 FROM-
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8011din g &0ad Atidi m. DIVI-010n
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�c�rt Pi Trice; FL J 2
772 . 46 2*-2 it"S Fax 772-462-6443
I . Requ:eft. fbe 30--bay., T--.ern0dr,.jjry Power Release
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Pr'qject Address;
p8tlrato2
RECEIVED
SEP 7.
Permitting DepatMl""
St. Lucie Coun!-
��
CA C)Uc, "Sk
Tidy UNDERSIGNED HEREBY REQUEST RELEASE OF ELECMCAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO. EXCEED THIRTY',(30) DAYS, FOP, THE PURPOSE OFTEST'ING SYSTEMS
AND EQUIPMENT IN PREPARAITON FOR AfINAL INSPEtRON. IN CONSIDERATION OF APPROVAL OF THE
ROUT WE' HEREBY A&�E AND' AGE AS FOLLOWS:
I. This �Tnporary power re 1S.Mquested for the above slated puMose only, and t.ber� wi be no
0=pancyofarty typ " H
2. A .4, other than that permitted by coil0uCtfon during this time period.
OWthess by our siqnatut�s, we herebY 2714e to abide by '
811 te?Ms and -conditions of this agreemerit,
inducting Ruilding Division -Pbky� which is inc6rP0rftd herefn by reference,
3. All condirions'and requhmtnts fls�W in the attached do an �ment entitled "Requirements for 30 Day
Power for Testing" Nve,bej�n' fulfilled and the premise 19 ready for compliance inspection.
4. All requiestt for an, exterdion beyond 30 days must be:made in writing to the Building Official stating
the reason for the re . quest. PoUver may be remoVed-Trohi the site. and/dr a-. ft*l) Work, Order issued if
the Final Inspection has not been approved within 30 days. A fee bf $100-00 will be required to lift
the Stop Wbrk Order. .
WE H5REBY RELEASE AND AGREE TO HOLD. HARMLESS,Si:LUCIE COUNTY, AND THEIR EMPLOYEE
A �5 FROM
WHICH MAY ARISE OR IN THE FUTURE OUT
Orr
r I�IS E TO THE
EVENT AGREEMEML
alm
DATE
-� .Q\ V
DATE
70R SIGNATURE DATE