HomeMy WebLinkAboutpower release�lanr�ing �� i�e�relop�t�en� Ser�rice�
�uilciing �c �ocie:6�egu[a�ron f�ivisiar<'
2.3Oo !lirginia Ave
�or� Pierce, ��. �4Jg2
f�eque�� �c�r �Q���y� �"�nnporall� Poorer �elea�e
Date; 11/16/2021 P.errinit Number: � ivy - c,6�
Project Address:
5126 Armina Place, Fort Pierce -Lot 25
THE UNDf~RSZGiVED HERESY REQUI~ST RELEASE aF ELECTRICAL POIIVER TQ THE ABOVE D1;SCRIBED
PROPERTY, FOR A PERIOD NOT TO EXCEED THIRTY (3Q) DAYS, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQt1IFMENT YN PREPARATION FOR A FZNAI� INSPECTION. IN CONSIDf;RATI4N 0� APPRC?VAL OF Tf-IC
BEQUEST 1NE HERBY ACI<NOWLEDGE AND -AGREE AS f=ALLOWS;
1. This temporary power release is requested for Otte above stated purpose only, and there will be no
occ�tgancy. of airy type,�other khan that permitted by;cons�ruction during this time period,
2. As witness �y bur signatures, we herby agree to abide by all terms and concl.lticins o� if pis agreerrienl;
Including Building_Division Pallcy, �wftich is incorporated herein by reFerence,
3. Ali conditions and requirements listed in the attached document entitled "Requiremer►ts for 30 Day
Power for Tc�stin�"have been fulfilled and -the premise is ready for compllance�fnspectlon.
�. All requests for an extension beyond 30 days must be made irr wrltingao:-the Building Official stating__
the reason lot• the request; Power may be removed -from the site andJor a Stop Work order�lssued if
the Final inspection has -.not been approved:wlthln �0 days, A fee of $XOo,Oq will be required to lift
the.Stop Work Order.
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. Ll1CIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILT7IE5 AND CLAIMS CIF ANY TYPE OF NATURE 1Nf-IZCH MAY ARISE_ NO1N OR xN THE:FUTURE� OUT
QF THIS TRAi�SACTION, INCLUDING ANY DAMAGE 1NHYCH MAY BE YNCURRED DUE TO TNE.
DISCONNECTION OF ELECTRICAL.P�OWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
n:"" �/
�.�;,_y, Z�eV�n �oa'kC��laa��>� 10/14/2021
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OWNER � N . _E t�'"� DATE
JoSQpii Spalt 10/14/2021
GENERA i CRAGTOR SIGNATURE DATE
10/14/2021
�LEGT . ICAL CbNTRACTOR;STGNATURE DATE