HomeMy WebLinkAboutpower releaseDate:
L JV �Y k
09/03/2021
Ilairtl61i Bug, �A D evellopniaem Ic services
C�9 1 fing � Cogs Reguc tdic C)nvIS0011;
300 Vorgo'bi"M Ave
'���I�rrl�r�P71crri�y
PrO,J�Ct Address: Lot 17, 5158 Arming place
Per(init Number: 2101-0022
=THE UND�RSZGNED HEREEY`REQUEST Ft�LEASE OF ELECTRICAL P01NER TO THEE 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 ICQNSYDERATION OF APPROVAO'IF TTHE
tEQUEST WE HEREBY ACKNOWLEDGE ANa AGREE AS. FOLLOWS$
i. This temporary power release is requested `for the above stated purpose only; and there wilt. be na
occupancy. of any type, Other than that permitted by construction during this time period..
2. As,witrtess by our signatures; we hereby agree to abide by all terms and conditions of this.ag, .-ent
Including Building Division Policy, which is incorporated herein by -reference.
3: All conditions and requirements listed In the attached document entitled ``Requirement for 30 Day
Power for Testing" have been -fulfilled and ;the premise lso ready.for -compliance: inspection.
All requests for an extension beyond 30 days must be made rivriting:to: the Building Official stating
the reason for the request-. Power: may be removed from the site and/or a Stop* Work. Ordergissued If
the 4 Final. Inspection has not been approved:within 10 days. A fee of $10.0.00 .will be required.to lift
the.stop Work Order,
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS,. ST. LLICIE.000NTY� AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS aF ANY TYPE QF NATURE VUHI�H. MAY ARYSE NO:1N OR IN THE.FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAYBE INCURRED DUE TO.THE.
DISCONNECTION OF ELECTRICAL. POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT:
x�.evin B4l'1��1�aaer� 6/7/2021
DATE
Joseph Spalt 6/7/2021
GENERA _ ... RAGTOR'SIGNATURE DATE
6/7/2021
ELECTkICAL CONTRACTOR:SIGNATURE DATE