HomeMy WebLinkAboutpower releasepate. 08/24/2021
Project Address:
C UIIto H i g Code.Regula dom Da
230C VirghiQa Aire
�oirt Pmlerce, FL 3t..932
�72�462�2 65 Fax 772"/1Jw62"Geu1j110
1cirh411 crr«air�y
5157 Arming Place
Permit Number: ,_,I
_THE UNDERSIGNED HEREsY`REQU�ST RELEASE OF ELECTRICAL PO111/�R Tp THE ABOVE DESCRIBED
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 4CONSIDERATION OP APPROVAL -OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND -AGREE AS FOLLOIUS;
i. This temporary power release is requested =for i:he ebove stated purpose only; and there will 6e na
occupancy of any type,lotherthan that permitted by.00nstruction during this time period.
2. As witness try our signatUres, we hereby agree to abide by all terms and conditions of this agreement,
Including Bull di Division Policy, which Is incorporated herein by -reference.
All conditions and requirements listed in the attached document entitled ``Requirements for 30 Day
Power for Testing" have been fulfillied and the premise `is ready for compliance: 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:may. be removed from the site and/or a stop Work Order*lssued if
the Final. inspection has not been approved:within 30 days. A fee of $xoo.Q0 -will be. required. to lift
the.Stop Work Order,
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS,. ST, 1,l1CIE COUNTY AND THEIR EMPLOYEES FROM
ALL LIABILIIIES'AND CLATI�IS OF ANY TYPE QF NATURE WHICH- MAY ARISE_ NOIN OR IN THE.FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY :BE INCURRED DUE T0JHE.
DISCONNECTION OF ELECTRICAL. COWER. IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
OWNER
GENE
:TOR SIGNATURE
NTRACTORSTCNATURE
DATE
Joseph :Spalt 2021
DATE
6/7/2021
DATE