HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEt-
A
SCANNED
BY
St. Lucie County
REQUEST FOR 30- DAY TlEmpoRARY
DATE:
PERmrr NuMHER.'
— �:) 6 L (5 :?,cr
PROPERTY AD13REBB:
AUG 16 200.4
St. Lucie County Comm. Devel. Dept.
Coda Compliance Division
2200 Virginia Avenue
Fort Pierce, FL 34OB2-5552
Ph. (681) 462- 2165
Fax (581) 482-1735
�' � &:� 1 C)� t
THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELEcTRiCAL POWER TO
THE ABOVE DESCRIBED PROPERTY, FORAPERIO.D NOTTO EXCEED THIRTY (30)
DAYS, FOR THE PURPOSE OFTESTING SY67EMSAND EQUIPMENTIN PRF-PARA-
TION FOR FINAL INSPECTION, IN CONSIDERATIOR, OF APPROVAL OF THIS
,REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
I This tOmPOrarY Power release Is r�quastsdl far the above stated purpose
O;ly, and there will be no occupancy of any type, other than that permitted
by construction during this time period.
2. As witness by OUr signatures, we hereby sgi�as to abide by all terms and
conditions of this agreement IrIcluding BLAIding Division Policy, which is
Incorporated herein by refers'nce.
3. All conditions anti requirements listed in the attached document antiffed
"Requirements for 30 Day Power for Testingm have been fulfilled and the
PrOM1365 is ready for compliance Inspection.
We hereby release ar(d k agree to hold hanniess, SL Lucia County, and their amployaax
from all liabilities and clQlms Of any type of nature which may -afte now or In the future
Out Of this transaction, Including any damages which may be Incurred due to the
dIsc % onnection of electrical power In the event of violation of this agreement
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