HomeMy WebLinkAbout30 day power releasePlanning and Development Services
Building and Code Regulations
2300 Virginia Avenue
Fort Pierce, FL 34983
772462-1553
Fax 772-462-6443
TEMPORARY EARLY POWER RELEASE
The Tenant or Owner �requests
��St`� _�Lucie (}County Development Services Department to release the
electrical power atSJc�R lrn\n� 11 C t ��, , (address, including suite number,
as posted on the electric meter and the building) for building permit #XIDSM— ala 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 "OFF" position or fuses removed.
3. Proper procedures for lockoutttagout 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 required 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 retrains covered by the requirements for GFCI 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 crwte 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.
L:c j:.3Lt,:.iL L .
Important: The occupant of the properly (or other appropriate Party) shall have made proper
application ter the electric utility, paid any applicable fees or deposits.:tnd requested Power in a
timely and informed manner. St Lucie Count%, is not responsible for electric power. any delays in the receipt of
We acknowledge and accept the terms of this Permission. We turther ace
W18* that of this agreement or a finding of unsafe ccMd'tions andlor Pracliccs found on4roce pan y
of the site may remelt in immediate disconnection of this trntp orary Power without roaming and
t:crcb� release Si Lucie entmty and all representatives of any and all liability resulting from us not
abiding, with this agreement. �,.
FM WWAC
d Cyr Date
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Purer Name - • omamatnr Print N -
Phmre NUMber - fAgMS&I Contracoar Phone Number - +
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PrinkelC Datc
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Print Name - Prima Co _im --
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Approved for St. Luck County by:
PhMe Number - Prime Conttnetor
Signature - EkTirical ln. p Xii r78n lnsp Ma Date
Inspector eornTnents. limitations and restrictions: