HomeMy WebLinkAboutpower releasePlanning 131 Development Services
wilding & Code. Regulation Division
2300 !Virginia Ave
�ort Pierce, FL 34982
�72462w2165 Pax 772 402W641.3
�eques for 3tl��ay �°+rnnporar�/ Pornrer Release
Date; Permit Permit Number: 2103-0715
Proj�c� Address: 5137 Armina Place, Fort Pierce -Lot 38
THE UNDERSIGiVED HERESY REQUEST RELEASE aF ELEGTRIGAL 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 TH
1EQUEST WE HEREBY ACKNOWLEDGE AND -AGREE AS. FOLLOWS;
1. This temporary power release is requested for ttte above stated purpose only, and fihere will be no
occupancy of airy type,lother than that permitted by construction during this time period.
2. As witness by our signatures, we herby agree to abide by all terms and conditions o> [Iris agreerrienl,
including Building Division Palley, 0which is Incorporated herein by -reference,
3. All conditions and requirements fisted in the attached document: entitled "Requirements for 30 Day
Power for Testing" have been fulfilled and -the premise is ready for compliancelnspection,
h. 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 OrderIssued if
the Final inspection has not been approved:within 30 days. Ate of $10o,O0 will be required to lift
the. Stop Work Order,
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST, Lt1CIE COUNTY, AND THEIR EMPLOYEES FROM
AIL LTABILTTIES ANpCLAIMS OF ANY TYPE OF NATURE VLJHICH MAY ARISE_ NOW OR ZN THE:FUT_ URE(JUT
OF THIS. TRANSACTION, INCLUDING ANY DAMAGE WHICH MAYBE INCURRED DUE TQ.THE
DISCONNECTION of ELECTRICAL, BOWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
`.�.1-- r ff''� Z��vix� r3axlce��laa���► 10/14/2021
OWNER Z N E DATE
dosopii Spalt 10/14/2021
GENERA I rRACTOR SIGNATURE DATE
10/14/2021
ELECT . ICAL CONTRACTOR;SIGNATURE DATE