HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASE09-24-'19 10:29 FROM- 7728787656 r T-955 P0004/0005 F-595
772-.462-2 fax7-72=492.6443 SCANNED
BY
St. Lucie County
- - R�tal�'�F� �-i�ay'9?ieix�paiir5r �`�iwer'Refea�
Permit Xftber.��
ftiedAddrem �J C0C Nl�_cz--
THE UNDERSIGNED HEREBY REQUEST RELSi SE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED .
PROPERTY, FOR A PERIOD NOT 70 EXCEED THIRTY (34) DAYS, FOR THE PU00W OFTESTING SYSTE
AND EOUIPMENT IN PREPARATION FORA TQL.INSPF=0N. IN CONSIMATiON OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEME AND AG#EE'AS �OLOWS:
1... TttiS rotary Power release is requested for the above slated purpose only, and then; va be no
ocaipaRcy of ar?lc%", Other than that peimitted by coi[5tr'udfon daring this true Ported
2." AS•wttriess by our signatvms, vVe heft.. agFf�.tb abide by0u 1 and mndmoris of this agreement,
• ' lricltiding. Building' DhQs2on Policy, which is in6orporai�i herein by �ference.
3. All C011dl(7on5'and regsiireinerrts fistird in U16 attadlPd.darurnent entmed "Regtiuements. for 30 Day
Pdwerfor Testing" Have been f M' ed avid the premise is readyfor comprgnbeinspedion
4. Ml requests for an eXWWon b'eypnd30 days must be made in wrmhg to tha BuAding Afiidal stating
the reason' for the request POW4 may be reMoved-Yrom the site andjor a Stop 1NorkOrder issued if
the Final Inspecion has not been approved wfithin 36'dap- A fee'of $100.073 will be required tD Uft
the Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD. ttARMLESS, ST. LUCIE GOUNw, AND THEIR EPIPLOYEES FROM
ALL LTd#BIlI MS AND CLAIMS' OF ANY TYPEOE NATURE WHICH MAY ARISE NOW OR IN THE F1mM OUT
OF THIS TRANSACTION, INCLUDING AwDAKNgE WFUCHMAY BE TNCU(gft CLUE TO THE
DMOME1=N OF 3CAL POVWU(Ili1'THE: EV€NTOr- W(jLgION Of T Z AGREff4ffa,
DATE