HomeMy WebLinkAboutpower releaseDere; 02/03/2022
Projevc� Address:
planning 81 Development Senrices
l u*1.Wing & Code. Regulation Division
2.300 !Virginia Ave
� � � � � lit • � f i � ,t' , r, �' s . �
Pertniti Number: 2103-0684
5150 Arming Place, Fort Pierce -Lot 19
THE UND�RSZGIVED HEREBY REQUEST RELEASE aF ELECTRICAL 1011VER TO �'HE ABOVE pFSCRIBD
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
BEQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS; FOLLOWS,
1. This temporory power release is requested for the above stated purpose only, and fihere will be no
occUpancy of airy type,llo, er than that permitted by construction during this,tinie period,
2. As witness try our signatures, we hereby agree to abide by all terins and conditions of tf ft agreernenl,
including Building _Division Policy, which is Incorporated herein by -reference,
3. All conditions and requirements listed in the attached document entitled "Requirements for 30 Day
Power for Testing" have been fulfilled and lthe premise Is ready for compliance inspection,
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 Order•issued if
the Final Inspection has not been approved:within 0 days, A .fee of $10o,0q will be required to lift
the.Stop Work Order,
1NE HEREBY RELEASE ANb AGREE TO HOLD HARMLESS, ST. Lt1CIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE VIJHZCH MAY ARISE_ NOV1/ OR xN THE:FUTUREOUT
PT Tq . TRAhjSACTION, INCLUDING ANY DAMAGE WHYCH MAY BE YNCURRED DUE TO THE.
DISCONNECTION OF ELECTRICAL• EWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
`�:-_Y,,.:.
OWNER I hE~' DATE
Josopll Spalt 10/14/2021
Jill -
GENERA 1 rRACTO(t SIGNATURE DATE
10/14/2021
ELECT . ICAL CONTRACTOWSIGNATURE DATE