HomeMy WebLinkAboutpower release (2)Date:
4/16/2021
lanning jr, . •
3,00
Virginia Ave
{ xt r -
Permit Number:
Pi'oje% k Add : Lot 43 5157 Armina Place
THE UNDERSIGiVED HEREBY REQUEST RELEASE OF ELECTRICAL POWER TO THE ABOVE DESCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (30) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT rN PREPARATION FOR A FINAL INSPECTION, IN CONSIDERATION OF APPROVAL OF THE
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS;
1: This temporary power release is requested for the above staffed purpose only, and -there will be no
occupancy of any type, other than that permitted by construction during this time period.
2. As:with ss by our signatures, we herby agree to abide by all terms and conditions of this agreement,
including Building Division Policy, which is incorporated herein by reference.
3: All conditions and requirements listed in the attached document entitled "Requirements for 30 Day
Power for Testing" have been fulfilled and -the premise 1s 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&Issued if
the Final Inspection has'not been approved:within 00 days. A fee of $100.00 will be required to lift
the.Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD- HARMLESS, ST, ICIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABTLITIES AND CLATMS �F ANY TYPE OF NATURE 1lUHICH MAY ARISE NOW OFt IN THE_.FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL. ROWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
/ I�.iwv>in Barke��ha��>�i 4/16/2021
OWN R G ATURE DATE
GENERAL CONTRACTOF`t'SIGNATURE
ELECTf>�ICAL CONTRACTOR;SIGNATURE
]vsePh Spalk 4/16/2021
DATE
4/16/2021
DATE