HomeMy WebLinkAbout30 dayDCA a 10/14/2021
Project Address:
planning Ist Development Senrices
�uilding� Code:Reg"Jatlon Division
2300 V"Irginia Ave
fort Piercer irk, 34982
772P#462w2165 Pax 772 462W6443
Perini Number:
5138 Armina Place, Fort Pierce
2103-0690
r
THE UNDI~RSZGfVED HERESY REQUEST RELEASE af~ ELECTRICAL POWER TO 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 OF APPROVAL. OF THE
�tEQUEST WE HEREBY ACKNOWLEDGE AND -AGREE AS FOLLOWS:
1, This temporary power release is requested for tt�e above stated purpose only, and fiheCe will be no
occLigancy of any type,*other than that permitted by construction during this time period.
2. As .witness by our signatures, we hereby agree to abide by all teens and conditions of if its agreement,
Including OUIlding Division Policy, dwliich is Incorporated herein by-ref.erence,
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 compllance!inspection.
All requests for an extension beyond 390 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 Orderwissued if
the Final Inspection has not been approvedolthin 0 days. A.fee of $100,00 will be required to lift
the. Stop Work Order.
1NE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST, LIIMP COUNTY AND THEIR EMPLOYEES FROM
A�.L LTABILTTIES AND CLAIMS O.F ANY TYPE OF NATURE WHICH MAY ARISE -NOW OR ZN THE�FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAYBE INCURRED DUE TO.THE
DISCONNEMON OF ELECTRICAL. EWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
OWNER I N E tN" r DATE
Josopii Spalt 10/14/2021
GENERA I CRACTOR SIGNATURE DATE
10/14/2021
ELECT. ICAL CONTRACTOR;SIGNATURE DATE