HomeMy WebLinkAboutPower Release Form Deve
ment
Serid
Planning and d Cole Regulations
tionsc s
building and Code Regulations
2300'Virginia Avenue
Fort Pierce,FL 34983 MAR 19 2021
772462-1553
Fax 772-462-6443
Permitting Departme
St. Lucie County, F!
TEMPORARY EARLY POWER RELEASE
(Name of Tenant or Owner)
The Tenant or Owner requests St LucieCounty Development Services Department to release the
electrical power at /4' 73 /'' w , (address,including suite number,
as posted on the electric meter and the building) for building permit# ''U>- % .�;for the
purpose of construction and testing building systems, including air conditioning, refrigeration,
lighting,power and control circuits with the following stipulations:
1. Incomplete or untested circuits are NOT to be energized without properly licensed electrical
personnel on the jobsite and no systems are to remain energized beyond the testing/temporary
purpose without proper inspection by the St Lucie County Building Department appropriately
licensed person(s).
2.All panels and disconnects not in use must be locked in the"O)FF-position or fuses removed.
3.Proper procedures for lookout/tagout must be in place.
4.The electrical equipment room(where applicable)will remain locked at all times with the key in
the possession of the electrical contractor.
5.All final inspections relative to the closeout of this project must be requested and passed in a
timely manner as determined by the Electrical Inspector and/or the Building Official.
6.The building may not be occupied before a Certificate of Occupancy(C.O.)is issued.
7.No stocking of materials,other than those rcquired for construction is permitted by this agreement
8.No on-site occupancy or training of personnel employed by the occupant,business entity or owner
is permitted by this agreement
9.No furniture,racks,furnishings or other personal or corporate property is permitted on site by this
agreement.
10. Construction power remains covered by the requirements for G11Cl protection and all other
requirements of the governing Codes,see National Electrical Code(NEC)Article 590,
Violation of this agreement may result in the immediate termination of the electrical power without
prior notice or warning to the affected parties. This form requires all of the following signatures
prior to power being released.The undersigned acknowledge that the operation of air conditioning
equipment while construction is in progress may create or increase the risk of contamination or
premature failure of the equipment.
The undersigned acknowledges the above listed stipulations,agrees to the terms of this agreement
and agrees to hold.St Lucie County harmless from any damages that may arise as a result of the
release of power to the premises. The undersigned hereby requests power to be released for this
project.This form does not guarantee power,which is at the discretion and control of the electrical
utility.
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Important: The occupant of the property (or other appropriate party) shall have made proper
application to the electric utility, paid any applicable fees or deposits, ana requesiea power In a
timely and informed manner. St Lucie County is not responsible for any delays in the receipt of
electric power.
We acknowledge and accept the terms of this permission. We further acknowledge that violation
of this agreement or a finding of unsafe conditions and/or practices found on the site or occupancy
of the site may result in immediate disconnection of this temporary power without warning and
hereby release St Lucie County and all representatives of any and all liability resulting from us not
abiding with this agreement.
Print e-Electrical.Contractor Company Name
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Print Name- leCtriCAl_Contractor print Name-Owner
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Phone Number-Electrical Contractor Phone Number-Owner
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License#Electrical Contr or
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Signature-Prime Co tractor to Print Name-Prime Contractor Corrfpany Name
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Print Name-Rime Contractor Phone Number-Prime Contractor
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License#Prime Contractor
Apprq*d for St.Lucie County by: .
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ignat' Lure-Electrical lnspectorBO Insp ID# Date
Inspector comments,limitations and restrictions:
. 2
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