HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE12-13-' 19 12:49 FROM-
7728787656 T-285 P0001/0005 F-195
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t D' gi iria Ave SCANNFO
Fdt`�RIle eClz Fl 39k . St eY
772-462�2 FB[772-462-6443 CuCie Coup
Re4liies> for SO -Way TeM, paia'rg• Flidwe "ease
Dabx (i (1 _ Perrf3ittst tuber:
Pro ect Address: " �Q
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE AROVE DESCUBM
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY M) DAYS, FOR THE PURPOSE Of'TESTWG SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A fINAL'MSP.EC lON. IN CONW' ERATTON OF APPROVAL OF THE
R6QUES`f WE HEREBY Ack mowixD,GE AND Ama AS Foams:
I. 7111S.11emporary POW rgl" is requested fOr the above stated purpose oNy, and tiwe vA be no
ocCvpancy cf'arry type, other than that Permitted by tohstruWon during this time period.
2. 'As vvttiiess by our sigMi4nes, we heftby ag*.t'6 abide by all terms and condlgons of this agreement,
includl`ng Buikrmg Division Policy, which is incorporated herein by reference.
1 All condmons and rquiriaM&ds listed In the attained daaiiment enttitled"ReAuirements for 30 Day
Power far'Tetting" Have been fdfiIled'and the premise is ready for compFuanoe inspection.
4. Alt requests for an eztp on beyond 30 days.mtL be:made in wn'tSirg to the goding'Official stating
the reason fbr the request Power may be removedfrom the site andyor a Stop Work.()der Issssued if
the Final .inspection has not been approved wrlfnn 30-day& A tree of $300.6d wM he requlred do itft
the Stop Work Order.
WE HEREBY RELEASE AND AC,REETO BOLD HARMLESS, Sr. LuM COUNTY, AND THEIR EMPLOYEES FROM
ALL L'[ABI MES AND CUUMS OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR I.N THE FUTURE OUT
OFTK$ TRANsACTIQN, INCLUDING AM(DANt, (. E'HVfdICFI MAY BE INCi1E3RED PUE TO'THE
DISCONNECTION OF ELECMdiilI POWER IN'THE' EVENY OF VIOL4Ti0N OF Tms AGREEMmf.
OWWER.SIONATM - DATE
DEC 13 z019,:
i'ermltting.'C epartment
.LLucie Cr-'u�tY, FL