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30 DAY TEMPORARY POWER RELEASE
i�!a :aDeveJopment se mites , _ igplaf�i3e'DFfiUsion 4 ri 5 Fax 772-462-6443 SCANNED -- -- - - - — _- - SMucieC®un - - Request for-3043ay Telnporarir power Release -Date: ^ 6� PermlNumber. ProjeclAWress: � %7 IaL471 cLye fy%r- ( f r u •cr �� THE UNDER NhD HMEBY REQUEST RELEASE OF EIEcrK,-POWERTO THE ABOVEDESCRIBED PROPERTY, FOR A PERIOD NOT.TO ©COEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY AtaNiOWLEDGE ANp AGREE As foumS: 1. This bamporary power retie is requested for the: above stated purpose only, and there wID be no oecapancy of any type, other than that permitted by corisbttdion during this time period. 2. As witness by our stgnMires, we hereby agree to abWe by terms and conditions of thIs agreement, Inducting Buikfimq Dhftun Parity, which is Imorporated herein by refererm 3. A0 conditions and r aoirements Cried in the attached dociment soled "Requuemenis for 30 Day Power for Testing' have been Mired and the premise is ready for comphhance inspection. 4. Aft requests for an extenston before! 30 days must be made in wrEng to the BWdirg Official slating the regson for the request Power may be removed from the ate and/or a Stop Wank order issued If the final Inspection has not been approved mlhin 30,days. A feeof $100.00 wifl be required to M the Stop Work Order. WE.HEREBY RELEASE AND AGREE TO MOLD HARMLEW, ST. WaE COUNTY, AND THEIR BIPLLOYEES FROM ALL t �ertrt rM AND CIAiMStop ANY T4wOF NATURE1NHHICH iVIAY ARISE.NOW:DR DI THE RnURE OUT OF THIS Ti%ANSACITON, DING TINY -DAMAGE WHICH MAY PE#NC RMEb DUE TO THE DISMNPIB=N OF-RkCTRICAL POWER THE'EVENT OF VIOLATION OF THIS AGREEMENT. K Ct:l ii ii g:&` quelopment spwices RogNCaddruPtulsion i49 SCANNED 7'7-42"�S Fax 772-452-6443 7 BY S. Lude roan v R+equesk: or30-Day Temporary Power Release - - - -- Date• C.- i! � o 7 jp dr Projjeed Address: `f77-Z-4gt/n Z—I � F,ef�� THE UNDERSIGNED HEREBREQUEST RELEASE ORICAC POWER TO THE AElOVEDESCRIBED PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION OF APPROVAL OF THE REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS: 1. This temporary power release is requested for the above stated purpose only, and there will be no occupancy of any type, other than that permitted by construction during this time period. 2. As withess by our signatures, we hereby agree to abide by all terms and conditions of this agreement, Including Building Division Policy, which is Incorporated herein by reference. 3. All conditions and requirements listed in the attached document entitled "Requirements for 30 Day Power for Testing" have been fulfilled and the premise is ready for compliance inspection. 4. All requests for an extension beyond 30 days must be made in writing to the Building Official stating the reason for the request. Power may be removed from the site and/or a Stop Work Order issued if the Final Inspection has not been approved within 30 days. A fee of $100.00 will be required to lift _ the Stop Work Order. WE.HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM ALL: LIVILIT ES AND CLAIms -Oran -TYPE-F NATUAEWHICH MAY ARISE.NOWOR IN THE FUTURE OUT OF THIS TRANSACTION, INCLUDING ANY.bA,MAGE WHICH MAY BE �NCU -' DUE TO THE DISCONNECTiON OF -ELECTRICAL POKIER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.