HomeMy WebLinkAboutpower releasei9eid"UngI& Logo Rejuaa�: on L�uuisioll
` Xi Virginia Ave
Fort Pierce' R 3/ 982
l�aie; 6/24/2021
Project Address:
5145 Arming Place
Permit Number: 2102-0539
=TFiE UNDERSZGlV�O HEREBY REQUEST RELEASE QF�ELECTRICALPOINERTQ THE ABOVE RESCRZBED
PROPERTY, FORA PERIOD -NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
. .
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CQNSIDERAT QN OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE: AND�AGREE AS FOLLOWS;
is 'This temporary power release is requested afar fihe above staffed purpose only, and there will beano
occupancy of any type,00ther'than that permitted by construction during this time periodA..
As witness by our signatures, w1.e hereby agree to abide by all tA.erms-and conditions of tAd his agreement,
including Building ,Division Policy, which is incorporated herein by reference,
3: All conditions and requirements fisted in the attached document entitled ``Requirements for 30 Day
Power for Testing" have' been fulfilled and -the premise is ready for compliance. I inspection.
All requests for an extension beyond 30 days must be made in writing=to the Building Official stating
the reason for the request. Power -maybe removed from the site and/or a Stop Work Order"issued 1f
the Final. Inspection has not been approved -within 30 zdays. A fee of $100.00 .will be required, to lift
the.stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE GOUNTY� AND THEIR EMPLOYEES FROM
ALL LIABILITIES ANp CLATMS OF ANY TYPE QF NATURE WHICH. MAY ARISE_ NQW OR YN THE.FUTURE OUT
OF THIS
SANSACTIQN, INCLUDING ANY.DAMAGE WHICH MAY BE INCURRED DUE TQ.THE.
DISCONNECTION OF ELECTRICAL. COWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT:
OWNER` _I N�tE � DATE
�osepii Spalt 6/24/2d21
GENERANad RAGTOR SIGNATURE DATE
;6/24/2021
ELECT. ICAL CONTRACTOR.SIGNATURE DATE