HomeMy WebLinkAboutpower release (2)�_
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Dc�ie; 11 /16/2021
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Permit Number: � i:�y - G��
Pr�oj�c� Address; 5126 Arming Place, Fort Pierce -Lot 25
THE UND[:RSZ�iVED HERBY REQUEST R�I.�ASE OF ELEGTRIGAL POWER TO THE' ABOVE D�SCRXB�D
PROPERTY, FOR A PERIQD NOT TO EXCEED THIRTY (3Q) DAYS, FOR THE PURPOSE OF TES -PING SYSTEMS
AND EQUIFMCNT YN PREPARATION FOR A F�NAI. INSPFCTIOIV, zN CONSIDERATION O� APPR�vAL OF T�-I�
�tEQUEST WE HERBY ICI<NOWLEDGE AND�AGRE� AS 1=QLL011115;
1. This temporary power release is requested for tt�e above stated purpgse only, and there will be no
occ�ipancy. of airy type,�other �har1 that permitted by,construction during this time period.
2. As witness try bur signatures, we herby agree iv abide by all terms attd corulltions o� flits_ agreerrienl,
Including Building D(ulsion Pal(cy, �wh(ch is incorporated herein byreference.
3. All conditions and requ(rements Ilsted in the attached document entitled "Requlremenis for 30 Day
Power ifor1 Testing"have been fulfll(ed and -the premise is ready for compiiance� inspection•
�. All requests for an extension beyond 3� days must be made in writing:to: the Building Official stating__
tile reason for the request; Power may be removed from the site and/or a Stop 1Nork �rder�lssued if
the Final inspection has not been approved:within �0 days. A .fee of $XOo,OA will be required to lift
the.Stop Work Order.
WE HEREBY RELEASE AND AGREE To HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
AIL LTABILTTIES AND CLAIMS OF ANY TYPE OF NATURE V1IHZCH MAY ARISE_ NOW bR ZN THE:FUTURE OUT
OF THrS TRAi�SACTZON, INCLUDING ANY DAMAGE 1lVI-IYCH MAY BE YNCURRED DUE TO THE
DISCONNECTION OF ELECTRICAL.N�UWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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�,� ; r p 10/14/2021
OWNER I N �2C �°'"�•� DATE
Josopli 5palt 10/14/2021
GENERA .. t C(ZACTOR SIGNATURE DATE
10/14/2021
PLECI' . ICAL CbNTRACTOR:STGNATURE PATE