HomeMy WebLinkAbout30 day power release WS Lot 58 • • C Z-0o i
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f� Planning.:8r Dev®lopment Services
f r 4u lding`kcode.IRegu1 0.11.:.Didision ;
2300 Vir"gini'wAve
Pou t:.Pier e;"FL.39982
E--. --_- 772-462 1166 fax.772-462-64:43
i equies for 3C day�°ei»porrary PO r Rel"has 3
1
Date; Permit.N:gTn' r;: 1912-0096
Project.Address
5225 Armina Place
THE:UNDERSIGNED HEREBY REQUEST RELEASE-OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY;`FOR A PERZQD'NOT"TO EXCEED THIRTY(30) DAYS' FORTHE PURPOSE OFTESTING'SYSfEMS 4
AND EQUIPMENT IN:PREPARATION FOR_A FINAL'INSPEMON*. IN WNSIDERATI.ON.gF APPROVAL OF1
REQUEST.IIVE."HEREBY-ACKNOWLEDGE"AND AGREErAS FOLLOWS;
" 1. Ttiistemporarypowerrelease Is:regUested'fort6e above"stated,"purposeonly.;.aid'there-will be;�o-
occupancy of anytype,:othee.than that'pefMitted by con'stfucbon during:this time penod.
:2t :As witness by our signatures,we.hereb'yagreeaQ'ablde byall terms and;condiElors of this agreement;.
V.1009' BuildingDwlsion Ropcy,-which.is Incorporated herein by reference
3. All cond(tlons and iegpireinents listed ih the attached document ohtitied,'Rd- *ements fbr 30'-Day
:Power forTest�ng"have hpm fuLflled antl the premi$e(s ready for compliance inspection.
4;. .A11 requests for�n extension beyond 30`days trust fie,made in yvriting to the"BulI Ing Official stating,
the reason:for the request Power maybe removed from.the site and],or aStop=Work Order.issued if,
the:Flrial Inspection'fi�s not beei:apProved witfilriQ days.. A":fee of$100.00:will.be requtredto:lift.
:the Stdp Work 0h er,
WE KREBY:RELEASE AND AGREE.TO HOLD HARMLESS, ST L,UCIE COUNTY;;:AIVD THEIR'EMPLOYEES FROM j
ALL LIABILM. ES-AND CLAIMSOF ANY. TYPE OF-NATURE WHICH MAY.ARTSE:NOW OR:IN.THE FUTURE OUi
OF THIS TRANSACTION,INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION q- ELE..CTRIGAL,PfJ1NER: ,. THE EVENT OF VZOI ATION OE THIS AGREEMENT.
Bork6hagen _.
bwm .. N.: UPIE ;{ - DATE _..
1oseph-Spalt:
GENE. . NTRAGTOC SIGNAT..URE: DATE
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ELE_ RICAL'WNTRACTOR,SIGNATURE DATE
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