HomeMy WebLinkAbout20210927110832245.pdfr
Date:
09/03/2021
1� � rnH Eng fi5 1 PeIfegop1a1eri1Cc )ervll 0
L-09 Hung kk C nde.Requ Fi c"Hon D1 11UHS110111
2 00 Virgin Ave
H L U' 9Urce; I L •ny0
7/4162�2165
ca
Project Address: lot 20, 5146 Armina Place
2102-0587
PErmlt Number:
THE UiUQERSZGNED HEREBY -REQUEST RELEASE OF��LECTRICAL POWERTQ 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 'CONSIDERATION OP APPROVALQF THE
REQUEST WE HEREBY ACKNOWLEDGE AND�AGREE AS FOLLOWS,
1: This temporary power release is requested `for trte above stated purpose only; and there wilt. be no
occupancy of any type, other than that permitted b YL construction during this time period.
2, As: witness by our signatures, we hereby agree to abide by all terms and conditions of this agreement;
Including Building Division Policy, which is Incorporated herein by reference.
B: 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; .I?owerwmay. be removed'from the site and/or a Stop�Work Ordergissued If
the Final. Inspection has not been approved_within 30 days. A fee of $100A00 .will be required, to lift
the_Stop Work Order,
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, 'ST. LIJCIE COUNTY AND THEIR EMPLOYEES FROM
ALL ,LIABILI7"IES AND CLAIMS aF ANY TYPE OF NATURE 1NHICH. MAY ARISE. NQ,1N OR �N THE :FUTURE OUT
OF THIS TRANSACTION, INCLUDIRG ANY DAMAGE WHICH MAY BE INCURRED .DUE TQ.THE.
DISCONNECTION OF ELECTRICAL. ROWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
OWNER �I�N�jT�!%E_ �:'`•{ DATE
Joseph Spalt 6/7/2021
.GENERA�i`CRAGTOR SIGNATURE- �,�/ DATE
CONTRACTOR :SIGNATURE
6/7/2021
DATE