HomeMy WebLinkAboutpower releaseDate:
11 /16/2021
Plojec� Address:
planning (st Development Senrices
�uild"Ing �c Code. Regulation DiUision
2300 Virginia Ave
nowt fierce, FL 34982
i'72462w2165 Fax 772 462wO443
Per�niti Number: 2104-0693
5126 Armina Place, Fort Pierce -Lot 25
THE UNDBRSZGiVED HEREBY REQUEST RELEASE aF ELECTRICAL PQWER 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
REQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS. FOLLOWS,
1, This temporary power release is requested for tt�e above stated purpose only, and there will be no
occupancy of ahY type,,other than that permitted by construction during this time period,
2. As witness try our signatures, we herc;by agree to abide by all terms and conditions of this agrgeriient;
Including Building ,Division Policy, *which is incorporated herein by reference,
3. Ali 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 compliance1Inspection,
�}. Ali 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 Ordergissued if
the Final inspection has not been approved:within 30 days, A.fee of $100,00 will be required to lift
the_srop Work Order,
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST, Ll1CIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LTABILT`TIES AND CLAIMS OF ANY TYPE OF NATURE 1NHZCH MAY ARISE. NOV1! OR ZN THE�FUTUREOUT
OF THIS TRANSACTION/ INCLUDING ANY DAMAGE WHICH MAYBE INCURRED DUE TO.THE.
DISCONNECTION OF ELECTRICAL.POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
Z�.evlr� �30xkc�lha���l 10/14/2021
OWNER I N �tE t~"'DATE
JoSopii Spalt 10/14/2021
GENERA I TRACTOR SIGNATURE DATE
10/14/2021
ELECT . ICAL CONTRACTOR:SIGNATURE DATE