HomeMy WebLinkAboutpower release (2)j� - ---� -- ------------ - --� ----- . _ ,�
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�lan�ing �� i�e�relopllx�en� �ertrice�
�uiiding �� Code:Reguta��oln ®ivi�io��
2�Oo �/irginia Ave
YF/�O/p➢"� /tq� l ®}�ji'Ce� {/it�C� � ��1�g�� �// may)
�.eque�� for �Q��ay� �'err�porar� �o�nrer release
Dare; 02/03/2022 Per1111� NU111ber: 2103-0684
Project Address:
5150 Armina Place, Fort Pierce -Lot 19
THE UNDC'RSIGNED HER�sY REQUEST RELEASE aF ELECTRICAL P01lVER TO THE ABOVE D�SCRxB�D
PROPERTY, FOR A PERIQD NOT TO EXCEED THIRTY (3Q) DA1(S, FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT 7N PREPARATION FOR A F�NAI. INSPECTION. IN CONSIDERATION OF APPRC3VAL OF T�i�
�tEQUEST UVE HEREBY ACI<NOWLEDGE AND AGREE AS. FALLOWS;
i. This temporary power release is requested for i=t�e above stated purpgse only, and there will be no
occupancy. of a►�y type,�other than that permitted by construction during, this,time period,
2. As witness try our sigrrattrres, we herc;by agree tv abide by all leans ar�d conclitioris of tf tls agreerrienl,
(nc(uding Building_Dlvislon Palicy,�wliich is incorporated herein by -reference,
3. Ali conditions and requirements ((sled In the attached document entitled "Requirements for 30 Day
Power for Testln�"have been fulflllcd and -the premise is ready for compllance�fnspectlon,
�. All requests for an extension beyond 34 days must be made in writingao:the Building Official stating__
the reason for the request; Power -may be removed from the site and/or a Stop Work Order�lssued if
the Final Inspection has -.not been approved:within �0 days. A .fee of $lOo,Oq will be required to Ilft
the.Skop Work Order.
WE HEREBY RELEASE ANb AGREE TO HOLD HARMLESS, ST. Ll1CZE COUNTY, AND THEIR EMPLOYEES FROM
AIL LTABILTTIES AND CLAIMS C+F ANY TYPE OF NATURE 1NHZCH MAY ARISE_ N01N OR ZN THE�FUT_ URE OUT
OF THIS. TRA(�SACTION, INCLUDING ANY DAMAGE WHICH MAY BE YNCURRED DUE TO.THE.
DISCONNECTION OF ELECTRICAL.I?�WER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
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`.�:-_�, ,• �,f. ��eV1n �3arlcc��laa�;t�� 10/14/2021
OWNER I N .�C �~''�' DATE
�o5optl Spalt 10/14/2021
GENERA ._ t �ftACTO(t SIGNATURE DATE
10/14/2021
�I.ECT. (CAL CONTRACTOR;SIGNATURE DATE
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