HomeMy WebLinkAboutpower releaseDate: 02/03/2022
i�lanning St Development Services
l uIN
ilciing� 8� Code -Regulation DIVISIon
23.00 !Virginia Ave
Mort Piercer FL 34982
permit Number•: 2103-0635
ProjecC Address: 5165 Armina Place, Fort Pierce -Lot 45
THE UNDGRSI�IVED HERESY REQUEST RELEASE aF ELECTRICAL POWER `i0 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 OP APPROVAL OF THE
P.1EQUEST WE HEREBY ACKNOWLEDGE AND AGREE AS FOLLOWS,
1. This temporary power release Is requested for �lte above stated purpose only, and fihe�e will be no
occupancy. of any type,gother than that permitted by construction during this time period.
2. As witness by our signatures, we herby agree to abide by all terms and conch -ions of tf ils agreement,
including Building Division Policy, *wliich is Incorporated herein by -reference,
3. All conditions and requirements fisted in the attached document: entitled "Requirements for 30 Day
Power for Testing" have been fulfilled and -the premise is- ready for compliance, Inspection,
All requests for an extension beyond 34 days must be made in writing1o. the Building Official stating_
the reason for the request, Power -may be removed from the site and/or a Stop Work OrderIssued If
the Final inspection has not been approved:wlthln 30 days, A .fee of $100. Q will be required to lift
the.Stop Work Order,
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. ICIE COUNTY, AND THEIR EMPLOYEES FROM
AIL LTABILTTIES AND CLAIMS C�.F ANY TYPE OF NATURE WHICH. MAY ARISE_ NOW OR ZN THE:FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED DUE T03HE.
DISCONNECTION OF ELECTRICAL. OWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT,
fr X�sv�ra �3aakc�ll�a��� 10/14/2021
OWNER I N hE ! DATE
JosQplt Spalt 10/14/2021
GENE itA I CRACTOR SIGNATURE DATE
10/14/2021
ELECT. ICAL CONTRACTORSIGNATURE DATE