HomeMy WebLinkAboutBUILDING PERMITPanning (/ f TT
•
3.00 Virg d inia Ave
off: ; Pierce, r 34982
72m462m21657724,62m$4413
te4"v for i P[�a y `ii �r111poi C1n V vvvlli'C�G' mulcamu
bate: 10-26-2020
Project Address: Lot 14 - 5174 Arming Place
Permit Number: 2008-0573
=THE UNQERSIGIVED HEREBY REQUEST':RELEASE OF ELECTRICAL POWER TO 7HE ABOVE RESGRXB�D
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 VILE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS:
1. This temporary power release is requested forktle �6ove stated purpose only, and there wii� �e.Bo
occupancy of any type, other than that perrnitted by construction during this time period..
2. Asiwitness f your signatures, we her4by agree to abide by all terms and conditions of tl1is agreement,
Including Building ,Division Policy, which is Incorporated herein by reference,
1 All conditions and requirements listed in the attached document entitled "Requirements for 30 bay
Power for Testing" have beenafulfiffed and=the premise. is ready.for complianceA inspection.
All requests for an extension beyond. 30 days must be made in writingfo_ the Building Official staff ing
the reason for the request, .Power may be removed from the site and/or a Stop Work Order*lssued if
the Final. Inspection has:not been approved. within �0 days. A .fee of $100.00 will be required. to lift
the_Stop Work Order,
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST: LUCIE-COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILLTIES'AND CLAIMS QF ANY TYPE OF NATURE UVHIQH. MAY ARISE_ NO_V1/ OR YN THE:FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY.DAMAGE WHICH MAY BE INCURRED DUE TO.THE
DISCONNECTION OF ELECTRICAL. eOWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
'°� I��V�n Borl�e�lag�lnl
01N1VEtt ?I !%ifily -E. PATE
J
VERA� 'rRAGTOR :$IGNA'
CONTRA;CTORSIGNATURE
osepFi 'spalk 10-26-2020
DATE
DATE