HomeMy WebLinkAbout30 DAY TEMPORAY POWER RELEASE11-01 '19 12:05 FROM-
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PPDled Address:
SCANNED
BY
St. Lucie Count,
THE UNDERSIGNED HEREBY REQUEST RELEASE OF El-E =CAL [SOWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EX[.' b THIRTY (30) DAYS, FOR THE PURPOSE OFTESTINC, SYS WS
AND EQUIPMENT IN PREPARATION FORA FINAL INSPEMON. iN CONSMERAATdON OF APPP=AL OF THE
REQIIEST WE FlMW ACKNOWLEDGEAND AGI EE RS i d)aW$:
1. This bmWrdry Power release is requested for the above oted p> may, and Witt be no
occupancy of any type, other than that perm by co *bruWon during this time period.
2. As witness by our eigrraiur s, . . her& agree.tib abide by M terms and codditions of this agreement,
Includliig Building DWon Falify, which is inan*eated herein by reference.
3. All mndldorls and raequQenEnts PiSfed in the attdOred document entitled Mequkemerrts for 30 Day
Power for 7esdng" have been fulfilled grid the prem9se is reedy for compliance inspedlon.
4. All requests for an wdensien beyond 3D dayS must be:rnade In wKtfhg to the Building *Of$cial sIoung
the reason lnr the request. Polder maybe removed'irom the s to and'%dr a Stop W r Order iaued if
the lynai Inspection h�fs not Uien approved within 30'days. A i'ee of $100.00 will be required to Ifft
the Stop Work Order.
WE HEREBY RELEASE AND A a3REE TO 14OL6 HlARmLM, S . LUcIE COUNTY, AND THEER EMPLOYEES FROM
ALL L iWIL ITIES AND .CLAIMS OF ANY TYPE OF MATURE W fIE H MAY ARISE NOW OR IN THE FUTURE OUT
OF 71-M TRANSAC rIQN, INMUDiNi3 ANY Di4MAGEANKC'�t M. AY BE INCUR OUE TO THE
DISCONN€CWN OF B.ECIi2ICA1_ POTNER IN THE, EVENT OF VIOLA TON OF THIS AGPB [ M .
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