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HomeMy WebLinkAbout20210927110824425.pdfDate: 09/03/2021 o)rnr��rr� x [� o� � � r�►n enflices 3.00 Virginia Ave b V;VA c u � it�y [, Pro��ct Address: Lot 41, 5149 Arming place Permit Number: 2102-0523 THE UNDERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL P01lIlER TD 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. INCONSIDERATION OF APPROVAL -OF THE REQUEST WE HEREBY ACKNOWLEDGE: AND AGREE AS FOLLOWS* 1. This temporary power release is requested for the above- stated purpose only, and there will. 6e no occupancy of any type,,other`than that permitted by Construction during this time period. 2, As;witness kiyour Signatures, we herby agree to abide by all terms and conditions of t.j.- 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 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 Stopo Work Order*issued if the Final. Inspection has not been approved.:within 30 days. A fee of $100.00 .will be required to lift the.stop Work Order, WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LLICIE.COl1NTY, AND THEIR EMPLOYEES FROM ALL LIABILri'IES AND CLAIMS aF ANY TYPE OF NATURE iIUHICH. MAY ARISE- NO:itV ORN THE.FUTURE OUT OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY :BE INCURRED DUE TO THE. DISCONNECTION OF ELECTRICAL, OWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT. GEN R 5IGNA ELECT�.ICAL CONTRACTORSTGNATURE K�van �orl�ex�l�ia��>� 6/7/2021 J©seph 5palt 6/7/2021 DATE 6/7/2021 DATE