HomeMy WebLinkAboutpower release- ._:
Dade; 02/08/2022
Project Address:
planning ut Development senrices
building 81 Code. Reg ulatlon Division
21Uo !Virginia Ave
fort Pie}�)rce, FL, 34982
772so462@42165 Fax �'72 462w6443
-. - ;r1 1 ..I
Periinir Number: 2103-0633
5129 Arming Place, Fort Pierce -Lot 36
THE UND_ERSZGNED HEREBY REQUEST RELEASE aF ELECTRICAL P011VER 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
1tEQUEST WE HEREBY ACKNOWLEDGE AND -AGREE AS FOLLOWS:
1. This temporary power release is requested for ttte above stated purpose only, and there will be no
occLigancy of arty type, Pother than that permitted by construction during this time period.
2. As witness by our signatures, we hereby agree to abide by all leans and conditions of tf its agreernent,
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 *the premise Is ready for compilancet 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 Pinal inspection has not been approved:within 0 days. A .fee of $100,00 will be required to lift
the.Stop Work Order,
UUE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST, Ll1CIE COUNTY AND THEIR EMPLOYEES FROM
AIL LIABILITIES AND CLAIMS OF ANY TYPE OF NATURE WHICH MAY ARISE -NOW OR zN THE:FUT_ UFtE-OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE TOP THE.
DISCONNECTION OF ELECTRICAL.R.OWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
t �.~_�, Jl Z�.�VXII �A1'ICC�111��@� 10/14/2021
OWNER .10NffP1 E DATE
GENEi2A�!
SIGNA
JosQpii Spalt 10/14/2021
10/14/2021
CAL CONTRACTOR;STGNATURE �—"'� pATE